Provider Demographics
NPI:1598725848
Name:ALPERT, MARTIN JEFFREY (DC)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:JEFFREY
Last Name:ALPERT
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 1:10981 LAKEMORE LN
Mailing Address - Street 2:APT. C
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-1538
Mailing Address - Country:US
Mailing Address - Phone:561-482-8633
Mailing Address - Fax:561-482-8633
Practice Address - Street 1:10981 LAKEMORE LN
Practice Address - Street 2:APT. C
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-1538
Practice Address - Country:US
Practice Address - Phone:561-482-8633
Practice Address - Fax:561-482-8633
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL204872801Medicaid
FLT51925Medicare UPIN
FL70702AMedicare ID - Type Unspecified