Provider Demographics
NPI:1881714269
Name:A AVENTURA CHIROPRACTIC CARE CENTER INC
Entity type:Organization
Organization Name:A AVENTURA CHIROPRACTIC CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SAUL
Authorized Official - Last Name:MURANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-937-3700
Mailing Address - Street 1:20475 BISCAYNE BLVD.
Mailing Address - Street 2:#G6
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-937-3700
Mailing Address - Fax:305-682-8347
Practice Address - Street 1:20475 BISCAYNE BLVD.
Practice Address - Street 2:#G6
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-937-3700
Practice Address - Fax:305-682-8347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T95201Medicare UPIN
77735Medicare PIN
88228AMedicare PIN