Provider Demographics
NPI:1144201021
Name:KAUFMAN, NEIL (DC)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:KAUFMAN
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 1:1225 45TH ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2120
Mailing Address - Country:US
Mailing Address - Phone:561-842-3500
Mailing Address - Fax:
Practice Address - Street 1:1225 45TH ST
Practice Address - Street 2:SUITE 307
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2120
Practice Address - Country:US
Practice Address - Phone:561-842-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT22080Medicare UPIN