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NPI Code Detail

MEDICARE: PARK CHIROPRACTIC CARE, PA

MEDICARE: PARK CHIROPRACTIC CARE, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH11609FL

General Provider Information

NPI Number : 1962887117
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK CHIROPRACTIC CARE, PA
Provider Business Mailing Address
First Line : 5412 W ATLANTIC BLVD
Second Line :
City : MARGATE
State : FL
Zip : 33063-5209
Country : US
Telephone Number : 954-532-6919
Fax Number : 954-590-8650
Provider Business Practice Location Address
First Line : 5412 W ATLANTIC BLVD
Second Line :
City : MARGATE
State : FL
Zip : 33063-5209
Country : US
Telephone Number : 954-532-6919
Fax Number : 954-590-8650
Authorized Official
Title or Position : ATTENDING PHYSICIAN
Name : DR. JUDITH ZEPHIRIN
Credential : DC
Telephone Number : 954-532-6919
Provider Enumeration Date : 07/29/2015
Last Update Date : 07/29/2015

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Directions to “PARK CHIROPRACTIC CARE, PA ” Practice Location

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