NPI | 1457511172 |
---|---|
Doing Business As | OCEAN DRIVE CHIROPRACTIC & WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | LEV SUDAKOV President 954-391-7864 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8450) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2019-07-01 |