Provider Demographics
NPI:1609895556
Name:MAJERCIN, DAVID MARK (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MARK
Last Name:MAJERCIN
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 1:5640 MARQUESAS CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3331
Mailing Address - Country:US
Mailing Address - Phone:941-921-5741
Mailing Address - Fax:941-927-5746
Practice Address - Street 1:5640 MARQUESAS CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3331
Practice Address - Country:US
Practice Address - Phone:941-921-5741
Practice Address - Fax:941-927-5746
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55779OtherBLUE CROSS BLUE SHIELD
FL55779OtherBLUE CROSS BLUE SHIELD