MEDICARE: ROBERT M KUSTIN DC

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	CH7439	FL

General Provider Information

NPI Number	:	1730185281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M KUSTIN DC

Provider Business Mailing Address
First Line	:	2240 SW 70TH AVE STE D
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33317-7112
Country	:	US
Telephone Number	:	954-430-8000
Fax Number	:	954-212-0150

Provider Business Practice Location Address
First Line	:	2240 SW 70TH AVE STE D
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33317-7112
Country	:	US
Telephone Number	:	954-430-8000
Fax Number	:	954-212-0150

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/31/2023

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Directions to “ ROBERT M KUSTIN DC” Practice Location

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