Provider Demographics
NPI:1871676783
Name:KREITMAN, DARREN T (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:T
Last Name:KREITMAN
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:PO BOX 451146
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33345-1146
Mailing Address - Country:US
Mailing Address - Phone:954-720-9055
Mailing Address - Fax:954-577-4447
Practice Address - Street 1:1753 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4111
Practice Address - Country:US
Practice Address - Phone:954-720-9055
Practice Address - Fax:954-577-4447
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
89098OtherBCBS
297105OtherAUMED
U98062Medicare UPIN
89098OtherBCBS