Delray Chiromed, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5358 Issued in FL

Legal business name

DELRAY CHIROMED, LLC

Practice address

4731 W Atlantic Ave
Suite B21
Delray Beach, FL 33445-3897

Phone

(561) 638-5212

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Brian Mitteldorf, DC

Title

President

Phone

(561) 638-5212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1689078800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE",
            "address_2": "SUITE B21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897",
            "telephone_number": "561-638-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE",
            "address_2": "SUITE B21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897",
            "telephone_number": "561-638-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY CHIROMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "MITTELDORF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-638-5212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "5358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Delray Center for Integrative Medicine PA
• Delray Center for Recovery
• Delray Dental Group
• Delray Dermatology LLC
• Delray Drugs Inc
• Delray Durable Medical Goods LLC
• Delray Efl Imaging Center LLC (Delray Open Imaging Center)

• Chiropractor in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.