Provider Demographics
NPI:1386609402
Name:RICE, WILLIAM J (DC, LAC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:RICE
Suffix:
Gender:
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4360 NORTHLAKE BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6265
Mailing Address - Country:US
Mailing Address - Phone:561-439-6644
Mailing Address - Fax:561-370-6214
Practice Address - Street 1:4360 NORTHLAKE BLVD STE 209
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6265
Practice Address - Country:US
Practice Address - Phone:561-439-6644
Practice Address - Fax:561-370-6214
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2834111N00000X
FLAP070171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL382009200Medicaid
T51939Medicare UPIN
FL382009200Medicaid