DEER CREEK MEDICAL GROUP (NPI# 1073978318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073978318 |
| Entity Type | Organization |
| Organization Name | DEER CREEK MEDICAL GROUP |
| Practice Address |
3401 Deer Creek Country Club Blvd Suite B Deerfield Beach FL 33442-8427 |
| Mailing Address |
Po Box 4102 Deerfield Beach FL 33442-4102 |
| Practice Telephone | 9545310420 |
| Practice Fax Number | 9545310268 |
| Mailing Telephone | 9545310420 |
| Mailing Fax Number | 9545310268 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Authorized Official Name | DR. MICHAEL R BASTKOWSKI (PRFESIDENT) |
| Authorized Official Telephone | 9545310420 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH7166 | FL | Chiropractic Providers |
| Street Address |
3401 DEER CREEK COUNTRY CLUB BLVD SUITE B |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33442-8427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| 1194203810 | Advance Urgent Care | Clinic/Center | 1827 W Hillsboro Blvd, Suite A, Deerfield Beach, FL 33442 | 2018-08-03 |
| 1972096410 | Michael Roy Turner | Nurse Anesthetist, Certified Registered | 2162 Woodlands Way, Deerfield Beach, FL 33442 | 2018-06-09 |
| 1306397187 | Michael Ovad | Behavioral Analyst | 1239 E Newport Center Dr #101, Deerfield Beach, FL 33442 | 2016-10-17 |
| 1285187831 | Lasting Purpose LLC | Chiropractor | 1365 South Military Trail, Deerfield Beach, FL 33442 | 2016-08-01 |
| 1144683525 | Jennifer Garcia | Physical Therapy Assistant | 2259-a W. Hillsboro Road, Deerfield Beach, FL 33442 | 2016-04-01 |
| 1972982635 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 3321 W. Hillsboro Blvd, Deerfield Beach, FL 33442 | 2015-05-27 |
| 1205213741 | Deerfield Family Dentistry | Dentist | 1369 S Military Trail, Deerfield Beach, FL 33442 | 2015-05-05 |
| 1952792707 | Bocacare Inc | Clinic/Center | 3313 W Hillsboro Blvd Ste 100, Deerfield Bch, FL 33442 | 2015-02-16 |
| 1689927600 | Phuong Anh Tran | Physical Therapist | 2259-a W. Hillsboro Blvd., Deerfield Beach, FL 33442 | 2012-10-16 |
| Find all providers in zip 33442 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899840 | Casey Rogers | Chiropractor | 615 Siesta Key Cir Apt 3311, Deerfield Beach, FL 33441-8130 | 2020-04-09 |
| 1104338631 | Chiro-fitness Centers, Inc | Chiropractor | 665 Se 10th St Ste 100, Deerfield Beach, FL 33441-5634 | 2017-10-24 |
| 1285187831 | Lasting Purpose LLC | Chiropractor | 1365 South Military Trail, Deerfield Beach, FL 33442 | 2016-08-01 |
| 1831566165 | Revive Chiropractic & Med Spa, LLC | Chiropractor | 494 W Hillsboro Blvd, Deerfield Beach, FL 33441-1604 | 2015-08-21 |
| 1497188023 | Marshelene Ricks | Chiropractor | 229 Sw 3rd Ct, Deerfield Beach, FL 33441-4603 | 2013-08-19 |
| 1649526179 | Lance Wald Dc Pa | Chiropractor | 100 S Military Trl Ste 18, Deerfield Beach, FL 33442-3031 | 2012-08-02 |
| 1265707277 | D.s. Maklan Dc Pa | Chiropractor | 616 S Federal Hwy, Deerfield Beach, FL 33441-4154 | 2012-03-09 |
| 1235408006 | The Wellness Spot, Inc | Chiropractor | 318 Hillsboro Blvd, Deerfield Beach, FL 33441 | 2011-12-22 |
| 1346531480 | Perry Chiropractic Center, Inc. | Chiropractor | 90 Tilford E, Suite T, Deerfield Beach, FL 33442-2106 | 2011-04-25 |
| 1053614099 | K & S Physicians Group | Chiropractor | 3467 W. Hillsboro Blvd, Ste B, Deerfield Beach, FL 33442 | 2010-12-14 |
| Find all providers in DEERFIELD BEACH | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33442 |
Please comment or provide details below to improve the information on DEER CREEK MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.