Provider Demographics
NPI:1710952254
Name:MIGDAL, DAVID NEAL (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:NEAL
Last Name:MIGDAL
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 1:10345 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4338
Mailing Address - Country:US
Mailing Address - Phone:561-790-6388
Mailing Address - Fax:561-798-9465
Practice Address - Street 1:10345 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4338
Practice Address - Country:US
Practice Address - Phone:561-790-6388
Practice Address - Fax:561-798-9465
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005551111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22404OtherBCBS
FL051169200Medicaid
FL44-02057OtherUHC
FL44-02057OtherUHC
FL051169200Medicaid