Healthcare Provider Details

I. General information

NPI: 1811190010
Provider Name (Legal Business Name): STEVEN BESSETTE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 DELTONA BLVD SUITE 3
DELTONA FL
32725-7103
US

IV. Provider business mailing address

809 DELTONA BLVD SUITE 3
DELTONA FL
32725
US

V. Phone/Fax

Practice location:
  • Phone: 386-574-1300
  • Fax: 386-574-3393
Mailing address:
  • Phone: 386-574-1300
  • Fax: 386-574-3393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6923
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: