Provider Demographics
NPI:1154149599
Name:INCLEDON, STEVEN DENNIS (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DENNIS
Last Name:INCLEDON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 WOOLBRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-0910
Mailing Address - Country:US
Mailing Address - Phone:561-865-8390
Mailing Address - Fax:561-865-1730
Practice Address - Street 1:6609 WOOLBRIGHT RD STE 414
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-0910
Practice Address - Country:US
Practice Address - Phone:561-865-8390
Practice Address - Fax:561-865-1730
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor