National Provider Identifier Database

ACTIVE SPINE CENTER OF HOMESTEAD INC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ACTIVE SPINE CENTER OF HOMESTEAD, INC

NPI Number 1902826845
Legal business name
LBN
ACTIVE SPINE CENTER OF HOMESTEAD, INC
Authorized official JASON LOPATE - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 07/21/2006
Last updated 01/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: CH8338
  • FL Medicaid: 382025400
  • FL Medicaid: 382091200

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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