Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH 7528 | FL |
NPI | 1003933615 |
---|---|
Provider Name | Dr. Jamie Allen Fine |
First Address | Hollywood, FL 33021 |
Second Address | Hollywood, FL 33021-3457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 02/09/2016 |