Provider Demographics
NPI:1639216211
Name:GEIGER, GUSTAVEOUS LAWRENCE (DC)
Entity type:Individual
Prefix:DR
First Name:GUSTAVEOUS
Middle Name:LAWRENCE
Last Name:GEIGER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:7001 W 35TH AVE
Mailing Address - Street 2:#250
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7114
Mailing Address - Country:US
Mailing Address - Phone:305-937-6322
Mailing Address - Fax:305-934-6358
Practice Address - Street 1:17971 BISCAYNE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2578
Practice Address - Country:US
Practice Address - Phone:305-937-6322
Practice Address - Fax:305-937-6358
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH7350111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation