Provider Demographics
NPI:1689744047
Name:STARKMAN, MYLES (DC)
Entity Type:Individual
Prefix:DR
First Name:MYLES
Middle Name:
Last Name:STARKMAN
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 1:5089 WATERS EDGE WAY
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-2620
Mailing Address - Country:US
Mailing Address - Phone:954-252-8805
Mailing Address - Fax:
Practice Address - Street 1:799 BRICKELL PLZ
Practice Address - Street 2:SUITE 803
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2816
Practice Address - Country:US
Practice Address - Phone:305-374-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor