Provider Demographics
NPI:1477615169
Name:KRZEMINSKI, CHRISTA (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:
Last Name:KRZEMINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1484
Mailing Address - Country:US
Mailing Address - Phone:954-570-5848
Mailing Address - Fax:954-570-5841
Practice Address - Street 1:1800 W HILLSBORO BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1484
Practice Address - Country:US
Practice Address - Phone:954-570-5848
Practice Address - Fax:954-570-5841
Is Sole Proprietor?:No
Enumeration Date:2006-12-16
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70084Medicare ID - Type Unspecified
FLU59966Medicare UPIN