Healthcare Provider Details

I. General information

NPI: 1902340961
Provider Name (Legal Business Name): DAVID WARREN ADELMAN D.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2016
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date: 03/15/2023
Reactivation Date: 05/04/2023

III. Provider practice location address

5011 NW 54TH ST
COCONUT CREEK FL
33073-3733
US

IV. Provider business mailing address

5011 NW 54TH ST
COCONUT CREEK FL
33073-3733
US

V. Phone/Fax

Practice location:
  • Phone: 561-302-5820
  • Fax:
Mailing address:
  • Phone: 561-302-5820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT30789
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: