Provider Demographics
NPI:1366790313
Name:BROWARD HEALTH AND WELLNESS P.A
Entity type:Organization
Organization Name:BROWARD HEALTH AND WELLNESS P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIRELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-972-2255
Mailing Address - Street 1:4974 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5300
Mailing Address - Country:US
Mailing Address - Phone:954-972-2255
Mailing Address - Fax:954-968-3352
Practice Address - Street 1:4974 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5300
Practice Address - Country:US
Practice Address - Phone:954-972-2255
Practice Address - Fax:954-968-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-23
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty