Provider Demographics
NPI:1871014464
Name:MYER, SARAH ADRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ADRIAN
Last Name:MYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 NW 103RD AVE APT 402
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6833
Mailing Address - Country:US
Mailing Address - Phone:954-866-2909
Mailing Address - Fax:954-742-7344
Practice Address - Street 1:7800 W OAKLAND PARK BLVD BLDG D110
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6741
Practice Address - Country:US
Practice Address - Phone:954-866-2909
Practice Address - Fax:954-742-7344
Is Sole Proprietor?:No
Enumeration Date:2017-07-04
Last Update Date:2017-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor