MEDICARE: DR. CLIFTON DAVID OKMAN D.C.

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	111NS0005X	Sports Physician Chiropractor	CH4184	FL
2	111NS0005X	Sports Physician Chiropractor	CH4014	CO

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	:	1619086774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLIFTON DAVID OKMAN D.C.

Provider Business Mailing Address
First Line	:	7244 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1041
Country	:	US
Telephone Number	:	954-748-5500
Fax Number	:	954-748-7500

Provider Business Practice Location Address
First Line	:	7244 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1041
Country	:	US
Telephone Number	:	954-748-5500
Fax Number	:	954-748-7500

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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