Doctor Name: | DR. RUSSELL ANDREW FICARA |
NPI Number: | 1265438840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CH5976 |
Business Practice Address: | 2500 Hollywood Blvd Suire 409 Hollywood, FL - 330206615 |
Business Phone Number: | 9549205020 |
Business Fax Number: | 9549666765 |
Mailing Address: | Po Box 814385, HOLLYWOOD |
State: | FL |
Postal Code: | 330814385 |
Phone Number: | 9549205020 |
Fax Number: | 9549666765 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH5976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |