Provider Demographics
NPI:1851505374
Name:PASTOR, STEVEN MARC (MS, DC, DAAPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MARC
Last Name:PASTOR
Suffix:
Gender:M
Credentials:MS, DC, DAAPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5869 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1333
Mailing Address - Country:US
Mailing Address - Phone:561-963-9400
Mailing Address - Fax:561-963-7688
Practice Address - Street 1:5869 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-1333
Practice Address - Country:US
Practice Address - Phone:561-963-9400
Practice Address - Fax:561-963-7688
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55451Medicare UPIN