Provider Demographics
NPI:1750704730
Name:GEM CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:GEM CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORINELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-383-8080
Mailing Address - Street 1:1188 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1672
Mailing Address - Country:US
Mailing Address - Phone:561-383-8080
Mailing Address - Fax:561-383-8060
Practice Address - Street 1:160 SE 6TH AVE
Practice Address - Street 2:SUITE B2
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5264
Practice Address - Country:US
Practice Address - Phone:561-383-8080
Practice Address - Fax:561-383-8060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty