Elan Vital Healthcare INC

NPI #1063549939 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1063549939
Entity Type: Organization
Organization Name: Elan Vital Healthcare INC
Primary Specialty: Chiropractor
Enumeration Date: Feb 27, 2007
Last Updated: Jan 24, 2014

Practice Location

Address: 4640 N FEDERAL HWY
Address 2: SUITE D
City: Fort Lauderdale
State: Florida
ZIP Code: 33308-5205
Phone: (954) 267-9963

Authorized Official

Name: DR. PETER V MATRALE, D.C.
Title: PRESIDENT
Phone: (954) 267-9963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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