Healthcare Provider Details

I. General information

NPI: 1093256455
Provider Name (Legal Business Name): CANTOR CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W ATLANTIC AVE SUITE O-12
DELRAY BEACH FL
33444-3689
US

IV. Provider business mailing address

307 VIA DE PALMAS
BOCA RATON FL
33432-6007
US

V. Phone/Fax

Practice location:
  • Phone: 561-265-3330
  • Fax:
Mailing address:
  • Phone: 561-265-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN CANTOR
Title or Position: MANAGER
Credential: DC
Phone: 561-750-5416