Provider Demographics
NPI:1598183949
Name:STEVEN D. FEINZIG D.C.,P.A.
Entity Type:Organization
Organization Name:STEVEN D. FEINZIG D.C.,P.A.
Other - Org Name:NATURAL LIFE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FEINZIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC,PA
Authorized Official - Phone:954-925-5000
Mailing Address - Street 1:2120 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6701
Mailing Address - Country:US
Mailing Address - Phone:954-925-5000
Mailing Address - Fax:
Practice Address - Street 1:2120 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6701
Practice Address - Country:US
Practice Address - Phone:954-925-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381137900Medicaid
FL381137900Medicaid
FL57457Medicare PIN