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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

NPI # 1902826845
LBN Legal business name ACTIVE SPINE CENTER OF HOMESTEAD, INC
Authorized official JASON LOPATE - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2006
Last updated 01/27/2012 - About 14 years ago
Identifiers
FL License # CH8338
FL Medicaid 382025400
FL Medicaid 382091200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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