MEDICARE: STEVEN MARC PASTOR M.S., D.C., DAAPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH 7157	FL

General Provider Information

NPI Number	:	1851505374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MARC PASTOR M.S., D.C., DAAPM

Provider Business Mailing Address
First Line	:	5869 S CONGRESS AVE
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-1333
Country	:	US
Telephone Number	:	561-963-9400
Fax Number	:	561-963-7688

Provider Business Practice Location Address
First Line	:	5869 S CONGRESS AVE
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-1333
Country	:	US
Telephone Number	:	561-963-9400
Fax Number	:	561-963-7688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/09/2007

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