Provider Demographics
NPI:1851617823
Name:MICHAEL PAPA, D.C. P.A.
Entity Type:Organization
Organization Name:MICHAEL PAPA, D.C. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-744-7373
Mailing Address - Street 1:2632 W INDIANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5889
Mailing Address - Country:US
Mailing Address - Phone:561-744-7373
Mailing Address - Fax:
Practice Address - Street 1:9089 N MILITARY TRL
Practice Address - Street 2:STE 36 & 37
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-5963
Practice Address - Country:US
Practice Address - Phone:561-630-9598
Practice Address - Fax:561-630-9536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty