Provider Demographics
NPI:1902144819
Name:DSE HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:DSE HEALTH SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:WARMUND
Authorized Official - Suffix:I
Authorized Official - Credentials:DC
Authorized Official - Phone:954-242-9495
Mailing Address - Street 1:3770 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1152
Mailing Address - Country:US
Mailing Address - Phone:954-731-4900
Mailing Address - Fax:954-731-4901
Practice Address - Street 1:3770 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-1152
Practice Address - Country:US
Practice Address - Phone:954-731-4900
Practice Address - Fax:954-731-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7873111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004413500Medicaid
FL004413500Medicaid
FLU79463Medicare UPIN