Provider Demographics
NPI:1114134897
Name:SAGMAN, ADRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:SAGMAN
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 1:6890 MIRAMAR PARKWAY
Mailing Address - Street 2:SUITE F
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023
Mailing Address - Country:US
Mailing Address - Phone:954-986-4006
Mailing Address - Fax:954-986-0007
Practice Address - Street 1:6890 MIRAMAR PARKWAY
Practice Address - Street 2:SUITE F
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023
Practice Address - Country:US
Practice Address - Phone:954-986-4006
Practice Address - Fax:954-986-0007
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U95048Medicare UPIN