Provider Demographics
NPI:1104019959
Name:HORNFELD, BRUCE SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:SCOTT
Last Name:HORNFELD
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:PO BOX 550224
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33355-0224
Mailing Address - Country:US
Mailing Address - Phone:954-646-6942
Mailing Address - Fax:954-476-8153
Practice Address - Street 1:1893 NE 164TH ST
Practice Address - Street 2:#100
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4168
Practice Address - Country:US
Practice Address - Phone:954-646-6942
Practice Address - Fax:954-476-8153
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007013111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner