Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH5678 | FL |
NPI | 1003805656 |
---|---|
Provider Name | Steven A Jarecki |
First Address | Boca Raton, FL 33487-1617 |
Second Address | Boca Raton, FL 33487-1617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 06/12/2021 |