Healthcare Provider Details

I. General information

NPI: 1285707893
Provider Name (Legal Business Name): STEVEN M PERMAN D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20401 STATE ROAD 7 STE G10
BOCA RATON FL
33498-6773
US

IV. Provider business mailing address

20401 STATE ROAD 7 STE G10
BOCA RATON FL
33498-6773
US

V. Phone/Fax

Practice location:
  • Phone: 561-852-4440
  • Fax: 561-852-3990
Mailing address:
  • Phone: 561-852-4440
  • Fax: 561-852-3990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH0003438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: