Provider Demographics
NPI:1639267180
Name:BARBANELL, DAVIN R (BA DC)
Entity Type:Individual
Prefix:DR
First Name:DAVIN
Middle Name:R
Last Name:BARBANELL
Suffix:
Gender:M
Credentials:BA DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 THREE ISLANDS BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7301
Mailing Address - Country:US
Mailing Address - Phone:305-934-8444
Mailing Address - Fax:
Practice Address - Street 1:2775 NE 163RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4007
Practice Address - Country:US
Practice Address - Phone:305-949-6740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor