GLEN SIEGEL P.A. (NPI# 1861813511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861813511 |
| Entity Type | Organization |
| Organization Name | GLEN SIEGEL P.A. |
| Practice Address |
7942 Pines Blvd Pembroke Pines FL 33024-6908 |
| Practice Telephone | 9549668770 |
| Practice Fax Number | 9543671226 |
| Mailing Telephone | 9549668770 |
| Mailing Fax Number | 9543671226 |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | DR. GLEN SIEGEL (OWNER) |
| Authorized Official Telephone | 9549668770 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0002753 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 051178100 | 05 |
| Street Address |
7942 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982239851 | Health Pines, LLC | Chiropractor | 9050 Pines Blvd Ste 253, Pembroke Pines, FL 33024-6400 | 2020-03-11 |
| 1255983383 | Elevate Chiropractic Wellness LLC | Chiropractor | 2041 Nw 85th Way, Pembroke Pines, FL 33024-3445 | 2019-07-09 |
| 1316507502 | Structural Spinal Care, LLC | Chiropractor | 12251 Taft St Ste 403, Pembroke Pines, FL 33026-1915 | 2019-06-19 |
| 1609431907 | Crma Reports, LLC | Chiropractor | 13450 Sw 3rd St Apt 204d, Pembroke Pines, FL 33027-2050 | 2019-05-02 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1841716453 | Ivy Joy Rahn | Chiropractor | 12333 Nw 18th St Ste 1, Pembroke Pines, FL 33026-4386 | 2017-08-15 |
| 1033509450 | Fritz Junior Philippe | Chiropractor | 7901 Nw 3rd St, Apt 23204, Pembroke Pines, FL 33024-1282 | 2015-01-24 |
| 1184040602 | Kristin Ibanez | Chiropractor | 8680 Nw 10th St, Pembroke Pines, FL 33024-4804 | 2014-03-07 |
| 1053696864 | West Pines Health Center, Pa | Chiropractor | 20170 Pines Blvd., #101, Pembroke Pines, FL 33029 | 2011-10-13 |
| 1376822353 | Infinite Life Medical LLC | Chiropractor | 2126 N Flamingo Rd, Pembroke Pines, FL 33028-3501 | 2011-08-09 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.