Healthcare Provider Details

I. General information

NPI: 1841379229
Provider Name (Legal Business Name): HUNTER ROBIN NOVAK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2006
Last Update Date: 06/11/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 SWEETWATER LN APT 206
BOCA RATON FL
33431-7124
US

IV. Provider business mailing address

940 SWEETWATER LN APT 206
BOCA RATON FL
33431-7124
US

V. Phone/Fax

Practice location:
  • Phone: 561-665-0985
  • Fax:
Mailing address:
  • Phone: 561-665-0985
  • Fax: 856-795-7960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12615
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: