Healthcare Provider Details

I. General information

NPI: 1124089651
Provider Name (Legal Business Name): DAVID STEVEN SLOSSBERG D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2006
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 HYPOLUXO RD SUITE 2
LAKE WORTH FL
33463-7534
US

IV. Provider business mailing address

4640 HYPOLUXO RD SUITE 2
LAKE WORTH FL
33463-7534
US

V. Phone/Fax

Practice location:
  • Phone: 561-296-1715
  • Fax: 561-296-1716
Mailing address:
  • Phone: 561-296-1715
  • Fax: 561-296-1716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8521
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: