Organization Name: | DANIA BEACH CHIROPRACTIC CENTER PA |
NPI Number: | 1649347410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN M HIRSCH (CHIROPRACTOR) |
Mailing Address: | 394 E Dania Beach Blvd Dania Beach |
State: | FL US |
Postal Code: | 330043051 |
Phone Number: | 9549257011 |
Fax Number: | 9549259961 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 12/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | CH7073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |