Provider Demographics
NPI:1144756164
Name:MILESTONES CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MILESTONES CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-995-0984
Mailing Address - Street 1:1309 S FLAGLER DR
Mailing Address - Street 2:STE 1
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6736
Mailing Address - Country:US
Mailing Address - Phone:813-995-0984
Mailing Address - Fax:813-280-6193
Practice Address - Street 1:1309 S FLAGLER DR
Practice Address - Street 2:STE 1
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6736
Practice Address - Country:US
Practice Address - Phone:813-995-0984
Practice Address - Fax:813-280-6193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty