Provider Demographics
NPI:1366983868
Name:OMNI TRINITY CHIROPRACTIC CARE LLC
Entity type:Organization
Organization Name:OMNI TRINITY CHIROPRACTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ORIENTALOS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-229-2388
Mailing Address - Street 1:2500 HOLLYWOOD BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6615
Mailing Address - Country:US
Mailing Address - Phone:786-229-2388
Mailing Address - Fax:
Practice Address - Street 1:2500 HOLLYWOOD BLVD STE 206
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6615
Practice Address - Country:US
Practice Address - Phone:786-229-2388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11720111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty