Provider Demographics
NPI:1447839261
Name:MICHAEL J DELESPARRA, DC, PA
Entity type:Organization
Organization Name:MICHAEL J DELESPARRA, DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DELESPARRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-587-7711
Mailing Address - Street 1:797 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-4000
Mailing Address - Country:US
Mailing Address - Phone:954-587-7711
Mailing Address - Fax:954-587-9562
Practice Address - Street 1:797 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4000
Practice Address - Country:US
Practice Address - Phone:954-587-7711
Practice Address - Fax:954-587-9562
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHAEL J DELESPARRA, DC, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty