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Contact Information

ACTIVE SPINE CENTER OF HOMESTEAD, INC
33550 S DIXIE HWY
SUITE 132
FLORIDA CITY, FL33034-5602
 Phone: 305-242-6665
 Fax: 305-242-6919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE SPINE CENTER OF HOMESTEAD INC · (Female)

NPI Number 1902826845
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2006
Last updated 01/27/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # CH8338
  • FL Medicaid 382025400
  • FL Medicaid 382091200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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