Provider Demographics
NPI:1558131698
Name:NOGRADI, STEVEN ARMANDO (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ARMANDO
Last Name:NOGRADI
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 1:10051 PINES BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6187
Mailing Address - Country:US
Mailing Address - Phone:954-477-2112
Mailing Address - Fax:954-301-7778
Practice Address - Street 1:10051 PINES BLVD STE B
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6187
Practice Address - Country:US
Practice Address - Phone:954-477-2112
Practice Address - Fax:954-301-7778
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15857111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor