Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH 8821 | FL |
NPI | 1003105453 |
---|---|
Provider Name | Dr. Jennifer Carmell Stepanek |
First Address | Vero Beach, FL 32960-2430 |
Second Address | Vero Beach, FL 32960-2430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 14/12/2016 |