Park Avenue Chiropractic LLC

NPI #1083197461 in Lake Park, Florida

Provider Information

NPI Number: 1083197461
Entity Type: Organization
Organization Name: Park Avenue Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 11, 2018
Last Updated: Sep 11, 2018

Practice Location

Address: 728 PARK AVE
City: Lake Park
State: Florida
ZIP Code: 33403-2504
Phone: (561) 848-3355

Authorized Official

Name: MIKELANE FLEURIMOND, CCPA
Title: OFFICE MANAGER
Phone: (561) 848-3355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Chiropractor	111N00000X	Primary

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