| NPI | 1669800470 | 
|---|---|
| Doing Business As | HOLLYWOOD SPINE AND REHABILITATION | 
| Entity Type | Organization | 
| Authorized Contact | DENNIS BONNEAU President 954-432-9993  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| Enumeration Date | 2013-10-15 | 
| Last Update Date | 2013-10-16 |