Provider Demographics
NPI:1033652086
Name:SD SERVICES LLC
Entity Type:Organization
Organization Name:SD SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-392-7989
Mailing Address - Street 1:3051 S OCEAN BLVD
Mailing Address - Street 2:APT 208
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-8391
Mailing Address - Country:US
Mailing Address - Phone:561-392-7989
Mailing Address - Fax:561-392-7984
Practice Address - Street 1:1050 NW 15TH ST
Practice Address - Street 2:SUITE 102A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1375
Practice Address - Country:US
Practice Address - Phone:561-392-7989
Practice Address - Fax:561-392-7984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH3701OtherSTATE OF FL DEPT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE