=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841326030
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID J QUARTELL D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2007
-----------------------------------------------------
Last Update Date | 10/03/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7100 FAIRWAY DR STE 33
-----------------------------------------------------
City | PALM BEACH GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33418-3782
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-625-5556
-----------------------------------------------------
Fax | 561-625-4622
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7100 FAIRWAY DR STE 33
-----------------------------------------------------
City | PALM BEACH GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33418-3782
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-625-5556
-----------------------------------------------------
Fax | 561-625-4622
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH7713
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------