Provider Demographics
NPI:1942523972
Name:GEORGE, SANDY V (DC)
Entity Type:Individual
Prefix:DR
First Name:SANDY
Middle Name:V
Last Name:GEORGE
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 1:279 DEER CREEK BLVD
Mailing Address - Street 2:# 1101
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8458
Mailing Address - Country:US
Mailing Address - Phone:561-350-0993
Mailing Address - Fax:
Practice Address - Street 1:5601 N FEDERAL HWY
Practice Address - Street 2:SUITE #2
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-4012
Practice Address - Country:US
Practice Address - Phone:561-350-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10167111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor