Provider Demographics
NPI:1831118470
Name:EPSTEIN, ROBERT A (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:EPSTEIN
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 1:11444 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3237
Mailing Address - Country:US
Mailing Address - Phone:727-393-6100
Mailing Address - Fax:727-393-5461
Practice Address - Street 1:2033 BUFORD HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-8802
Practice Address - Country:US
Practice Address - Phone:770-614-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCDTWMedicare ID - Type Unspecified