Provider Demographics
NPI:1154068468
Name:VALCOURT, SYLVAIN (DC)
Entity Type:Individual
Prefix:
First Name:SYLVAIN
Middle Name:
Last Name:VALCOURT
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 1:4900 S UNIVERSITY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3811
Mailing Address - Country:US
Mailing Address - Phone:954-866-9378
Mailing Address - Fax:
Practice Address - Street 1:4900 S UNIVERSITY DR STE 201
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3811
Practice Address - Country:US
Practice Address - Phone:954-866-9378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor