Modern Medicine INC

NPI #1407095326 in Boca Raton, Florida

Provider Information

NPI Number: 1407095326
Entity Type: Organization
Organization Name: Modern Medicine INC
Primary Specialty: Chiropractor
Enumeration Date: Feb 17, 2009
Last Updated: Mar 4, 2009

Practice Location

Address: 5458 TOWN CENTER RD STE 104
City: Boca Raton
State: Florida
ZIP Code: 33486-1026
Phone: (561) 859-4275

Authorized Official

Name: DR. WILLLIAM FREDERICK VANDERBROOK III, D.C.
Title: OWNER
Phone: (954) 428-2729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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