New Life Chiropractic Club LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7927 Issued in FL

Legal business name

NEW LIFE CHIROPRACTIC CLUB LLC

Practice address

6555 Powerline Rd
103
Ft Lauderdale, FL 33309-2067

Phone

(954) 776-1880

Fax

(954) 776-1808

NPI assigned

Mar 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey W. Hazim, D.C.

Title

Partner

Phone

(954) 776-1880

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1245401710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 POWERLINE RD",
            "address_2": "103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092067",
            "telephone_number": "954-776-1880",
            "fax_number": "954-776-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 POWERLINE RD",
            "address_2": "103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092067",
            "telephone_number": "954-776-1880",
            "fax_number": "954-776-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "HAZIM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "954-776-1880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.