Victory Chiropractic, Inc.

NPI #1992162325 in Lauderdale Lakes, Florida

Provider Information

NPI Number: 1992162325
Entity Type: Organization
Organization Name: Victory Chiropractic, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Jan 15, 2016
Last Updated: Jan 21, 2016

Practice Location

Address: 3500 N STATE ROAD 7
Address 2: STE 480
City: Lauderdale Lakes
State: Florida
ZIP Code: 33319-5600
Phone: (754) 215-6502

Authorized Official

Name: MS. VICTORIA WIDJAJA, D.C.
Title: ADMINISTRATOR
Phone: (754) 215-6502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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