| NPI | 1104282615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MEVORAH Chiropractic Physican 954-471-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NX0100X Chiropractor Occupational Health |
| 111NX0800X Chiropractor Orthopedic | |
| 111NS0005X Chiropractor Sports Physician | |
| 111NN0400X Chiropractor Neurology | |
| 111NP0017X Chiropractor Pediatric Chiropractor | |
| 111NR0200X Chiropractor Radiology | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |