Healthcare Provider Details

I. General information

NPI: 1043344336
Provider Name (Legal Business Name): DARYL SCHLEIFER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 10/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 NW 119 STREET
NORTH MIAMI FL
33168
US

IV. Provider business mailing address

5690 PACIFIC BLVD 1306
BOCA RATON FL
33433
US

V. Phone/Fax

Practice location:
  • Phone: 305-688-7416
  • Fax:
Mailing address:
  • Phone: 561-706-8734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH7657
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: