Provider Demographics
NPI:1942473228
Name:SCHWARTZ, KEITH MERRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:MERRICK
Last Name:SCHWARTZ
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 1:1 NE 23RD AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5247
Mailing Address - Country:US
Mailing Address - Phone:954-785-6000
Mailing Address - Fax:954-785-6005
Practice Address - Street 1:1 NE 23RD AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5247
Practice Address - Country:US
Practice Address - Phone:954-785-6000
Practice Address - Fax:954-785-6005
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor