Healthcare Provider Details

I. General information

NPI: 1720201866
Provider Name (Legal Business Name): DAVID K POCES D.C., DACAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2263 NW BOCA RATON BLVD #208
BOCA RATON FL
33431
US

IV. Provider business mailing address

PO BOX 1164
BOCA RATON FL
33429-1164
US

V. Phone/Fax

Practice location:
  • Phone: 561-544-5900
  • Fax: 561-544-5289
Mailing address:
  • Phone: 561-544-5900
  • Fax: 561-544-5289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH4400
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: