Broward Physical Medicine

NPI #1033518436 in Oakland Park, Florida

Provider Information

NPI Number: 1033518436
Entity Type: Organization
Organization Name: Broward Physical Medicine
Primary Specialty: Chiropractor
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 2121 W OAKLAND PARK BLVD
Address 2: SUIT 10B
City: Oakland Park
State: Florida
ZIP Code: 33311-1529
Phone: (954) 617-1011

Authorized Official

Name: DR. RYAN A. GRAND, D.C.
Title: PRESIDNET
Phone: (561) 729-7092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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