Provider Demographics
NPI:1558688929
Name:STEVEN A. APICERNO, DC, PA
Entity Type:Organization
Organization Name:STEVEN A. APICERNO, DC, PA
Other - Org Name:APICERNO CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:APICERNO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-968-2440
Mailing Address - Street 1:7347 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2528
Mailing Address - Country:US
Mailing Address - Phone:561-968-2440
Mailing Address - Fax:561-968-3055
Practice Address - Street 1:7347 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2528
Practice Address - Country:US
Practice Address - Phone:561-968-2440
Practice Address - Fax:561-968-3055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5935261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380929300Medicaid
FL380929300Medicaid
FLT87716Medicare UPIN