Malek Boutros Chiropractor PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8995 Issued in FL

Legal business name

MALEK BOUTROS CHIROPRACTOR PA

Practice address

2106 Drew St Ste 101
Clearwater, FL 33765-3238

Phone

(727) 329-6100

Fax

(727) 329-6102

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Malek Boutros, DC

Title

President , Chiropractor

Phone

(727) 329-6100

Specialties & licenses 1

Addresses

Other names 1

• boutros chiropractic & wellness Doing business as

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1649475013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DREW ST STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653238",
            "telephone_number": "727-329-6100",
            "fax_number": "727-329-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 DREW ST STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653238",
            "telephone_number": "727-329-6100",
            "fax_number": "727-329-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALEK BOUTROS CHIROPRACTOR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "MALEK",
        "authorized_official_title_or_position": "PRESIDENT , CHIROPRACTOR",
        "authorized_official_telephone_number": "727-329-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "boutros chiropractic & wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Daley Malcolm, BS
• Benjamin Maldonado, CSA
• Jazmin Irene Maldonado
• Marissa Celine Maldonado, MD
• Sarah Maldonado
• Srikanth Malempati, M.D.
• Denis S Malfant, MD
• Zhanna Malkova
• Andrew Sean Mallon, DO
• Mallory Ventsam Enterprises, LLC

• Chiropractor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.