Provider Demographics
NPI:1609608454
Name:DADE CHIROPRACTIC AND REHAB CENTER LLC
Entity type:Organization
Organization Name:DADE CHIROPRACTIC AND REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ALFRED
Authorized Official - Last Name:KURZBUCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-658-0747
Mailing Address - Street 1:633 NE 167TH ST STE 1101
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2449
Mailing Address - Country:US
Mailing Address - Phone:847-254-0246
Mailing Address - Fax:786-791-7496
Practice Address - Street 1:633 NE 167TH ST STE 1101
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2449
Practice Address - Country:US
Practice Address - Phone:847-254-0246
Practice Address - Fax:786-791-7496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center