Provider Demographics
NPI:1760591580
Name:WESTHEIMER, ROBERT DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:WESTHEIMER
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 1:4507 N PINE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5321
Mailing Address - Country:US
Mailing Address - Phone:954-722-0500
Mailing Address - Fax:954-742-0583
Practice Address - Street 1:4507 N. PINE ISLAND ROAD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-5321
Practice Address - Country:US
Practice Address - Phone:954-722-0500
Practice Address - Fax:954-742-0583
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 2850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051058100Medicaid
FL051058100Medicaid
88242ZMedicare PIN
88242Medicare ID - Type Unspecified