Provider Demographics
NPI:1083808596
Name:YACHTER, DAVID EVAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EVAN
Last Name:YACHTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10189 CLEARY BLVD
Mailing Address - Street 2:SUITE103
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1027
Mailing Address - Country:US
Mailing Address - Phone:954-472-6002
Mailing Address - Fax:954-472-7111
Practice Address - Street 1:10189 CLEARY BLVD
Practice Address - Street 2:SUITE103
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1027
Practice Address - Country:US
Practice Address - Phone:954-472-6002
Practice Address - Fax:954-472-7111
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0006780111N00000X
FLCH6780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55205Medicare PIN