Provider Demographics
NPI:1235316399
Name:CANTOR, STEVEN R (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:CANTOR
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 1:307 VIA DE PALMAS
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-6007
Mailing Address - Country:US
Mailing Address - Phone:561-750-5416
Mailing Address - Fax:561-750-5417
Practice Address - Street 1:307 VIA DE PALMAS
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-6007
Practice Address - Country:US
Practice Address - Phone:561-750-5416
Practice Address - Fax:561-750-5417
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor