Provider Demographics
NPI:1588065080
Name:MAIR HEALTH AND WELLNESS CORP
Entity type:Organization
Organization Name:MAIR HEALTH AND WELLNESS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:SIMON
Authorized Official - Last Name:MAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-271-1652
Mailing Address - Street 1:7000 SW 62ND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4716
Mailing Address - Country:US
Mailing Address - Phone:305-271-1652
Mailing Address - Fax:305-271-1855
Practice Address - Street 1:7000 SW 62ND AVE STE 201
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-271-1652
Practice Address - Fax:305-271-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty