Provider Demographics
NPI:1174126361
Name:FIERMAN FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:FIERMAN FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:FIERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-404-0030
Mailing Address - Street 1:8058 TUMBLESTONE CT APT 126
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-4431
Mailing Address - Country:US
Mailing Address - Phone:239-404-0030
Mailing Address - Fax:
Practice Address - Street 1:4400 N. FEDERAL HIGHWAY 210-37
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4471
Practice Address - Country:US
Practice Address - Phone:561-867-8114
Practice Address - Fax:561-486-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447757513OtherNPI NUMBER