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Jack Wise, DC
Chiropractor in Fort Lauderdale, Florida
NPI 1780040808

Jack Wise is a Chiropractor based in Fort Lauderdale, FL. Jack Wise practices in Fort Lauderdale, FL and has the professional credentials of DC. The NPI Number for Jack Wise is 1780040808 and holds a License No. CH11489 (Florida).

The current practice location address for Jack Wise is 701 E Broward Blvd Ste D, Fort Lauderdale, FL and can be reached out via phone at 217-494-3643. You can also correspond with Jack Wise through the mailing address at 701 E BROWARD BLVD STE D, FORT LAUDERDALE, FL - 33301-2022 (mailing address contact number: 217-494-3643).

Location: 701 E Broward Blvd Ste D, Fort Lauderdale, FL, 33301-2022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780040808
Provider Name
Jack Wise
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
701 E Broward Blvd Ste D, Fort Lauderdale, FL, 33301-2022
Phone Number
217-494-3643
Fax Number
Provider Enumeration Date
01/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
701 E Broward Blvd Ste D
City
Fort Lauderdale
State
Florida
Zip
33301-2022
Phone Number
217-494-3643
Fax Number
person
Provider Business Mailing Address Details
Address
701 E Broward Blvd Ste D
City
Fort Lauderdale
State
Florida
Zip
33301-2022
Phone Number
217-494-3643
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH11489 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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