Organization Name: | PALM BEACH PHYSICAL MEDICINE |
NPI Number: | 1609176379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN ALEXANDRE GRAND (PRESIDENT) |
Mailing Address: | 3111 45th St Ste 4 West Palm Beach |
State: | FL US |
Postal Code: | 334071981 |
Phone Number: | 5615304655 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2010 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH8588 |
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. |