MEDICARE: STEVEN S. YOUKER, D.C., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH0004845	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588735385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN S. YOUKER, D.C., P.A.

Provider Business Mailing Address
First Line	:	3825 E STATE ROAD 64
Second Line	:	SUITE 200
City	:	BRADENTON
State	:	FL
Zip	:	34208-9041
Country	:	US
Telephone Number	:	941-750-6200
Fax Number	:	941-750-9200

Provider Business Practice Location Address
First Line	:	3825 E STATE ROAD 64
Second Line	:	SUITE 200
City	:	BRADENTON
State	:	FL
Zip	:	34208-9041
Country	:	US
Telephone Number	:	941-750-6200
Fax Number	:	941-750-9200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	06/30/2010

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