Provider Demographics
NPI:1639356363
Name:DARREN KREITMAN D,C.
Entity Type:Organization
Organization Name:DARREN KREITMAN D,C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:T
Authorized Official - Last Name:KREITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-720-9055
Mailing Address - Street 1:7401 NW 57TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2101
Mailing Address - Country:US
Mailing Address - Phone:954-720-9055
Mailing Address - Fax:954-720-9075
Practice Address - Street 1:7401 NW 57TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2101
Practice Address - Country:US
Practice Address - Phone:954-720-9055
Practice Address - Fax:954-720-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1871676783OtherNPI
FLU98062Medicare UPIN
FL89098AMedicare PIN