Provider Demographics
NPI:1437481199
Name:DRISCOLL, SEAN (DC)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:DRISCOLL
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 1:1301 E ATLANTIC BLVD STE 2
Mailing Address - Street 2:CHIROPRACTIC CENTER OF POMPANO
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6741
Mailing Address - Country:US
Mailing Address - Phone:954-532-6909
Mailing Address - Fax:954-532-6993
Practice Address - Street 1:1301 E ATLANTIC BLVD STE 2
Practice Address - Street 2:CHIROPRACTIC CENTER OF POMPANO
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6741
Practice Address - Country:US
Practice Address - Phone:954-532-6909
Practice Address - Fax:954-532-6993
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11073111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor