MEDICARE: DARREN KREITMAN 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	111N00000X	Chiropractor	CH8445	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1871676783	OTHER	FL	NPI

General Provider Information

NPI Number	:	1639356363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARREN KREITMAN D,C.

Provider Business Mailing Address
First Line	:	7401 NW 57TH ST
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2101
Country	:	US
Telephone Number	:	954-720-9055
Fax Number	:	954-720-9075

Provider Business Practice Location Address
First Line	:	7401 NW 57TH ST
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2101
Country	:	US
Telephone Number	:	954-720-9055
Fax Number	:	954-720-9075

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DARREN T KREITMAN
Credential	:	D.C.
Telephone Number	:	954-720-9055

Provider Enumeration Date	:	01/24/2008
Last Update Date	:	01/24/2008

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