Organization Name: | HEALTHSOURCE OF NORTHWEST FLORIDA LLC |
NPI Number: | 1104015866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON D RABINOWITZ (OWNER CHIROPRACTOR) |
Mailing Address: | 2107 West Nine Mile Road Ste 2 Pensacola |
State: | FL US |
Postal Code: | 32534 |
Phone Number: | 8504735555 |
Fax Number: | 8504735505 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH9112 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |