Individual provider · Type 1 NPI

Jack Wise, DC

Chiropractor · Fort Lauderdale, FL

NPI number 1780040808 Active

Practice location

701 E Broward Blvd Ste D
Fort Lauderdale, FL 33301-2022

Call (217) 494-3643 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH11489 (FL)

Chiropractor: 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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About NPI 1780040808

Jack Wise, DC's National Provider Identifier is 1780040808, issued on Jan 5, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 5, 2016.