Provider Demographics
NPI:1487778379
Name:APOTHEKER & BLUMSTEIN, INC.
Entity type:Organization
Organization Name:APOTHEKER & BLUMSTEIN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:APOTHEKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-951-7330
Mailing Address - Street 1:551 S APOLLO BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-1274
Mailing Address - Country:US
Mailing Address - Phone:321-951-7330
Mailing Address - Fax:321-725-1705
Practice Address - Street 1:551 S APOLLO BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1274
Practice Address - Country:US
Practice Address - Phone:321-951-7330
Practice Address - Fax:321-725-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70176Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER