Provider Demographics
NPI:1821175266
Name:ORLOVE, BARRY SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:SCOTT
Last Name:ORLOVE
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 1:236 DOWN EAST LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2639
Mailing Address - Country:US
Mailing Address - Phone:561-352-1602
Mailing Address - Fax:561-439-4786
Practice Address - Street 1:1717 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-6642
Practice Address - Country:US
Practice Address - Phone:561-352-1602
Practice Address - Fax:561-439-4786
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007536L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA744939OtherHIGHMARK