Healthcare Provider Details

I. General information

NPI: 1689848145
Provider Name (Legal Business Name): JEFFREY L STANGER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8197 N UNIVERSITY DR STE 3
TAMARAC FL
33321-1743
US

IV. Provider business mailing address

601 N CONGRESS AVE SUITE 417
DELRAY BEACH FL
33445-4703
US

V. Phone/Fax

Practice location:
  • Phone: 954-720-2800
  • Fax: 954-720-6547
Mailing address:
  • Phone: 561-272-1582
  • Fax: 561-272-1932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY3266
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8449
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8686
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9239
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8100
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME36462
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME8830
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME96190
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberME80307
License Number StateFL
# 10
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008827
License Number StateFL
# 11
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH3463
License Number StateFL

VIII. Authorized Official

Name: DR. JEFFREY L STANGER
Title or Position: OWNER
Credential: D.C.
Phone: 561-498-4300