Provider Demographics
NPI:1861613176
Name:FEINZIG, STEVEN DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DAVID
Last Name:FEINZIG
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 1:2120 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6701
Mailing Address - Country:US
Mailing Address - Phone:954-925-5000
Mailing Address - Fax:954-922-5001
Practice Address - Street 1:2120 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6701
Practice Address - Country:US
Practice Address - Phone:954-925-5000
Practice Address - Fax:954-922-5001
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 0007110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3811379-00Medicaid
FL57457Medicare ID - Type UnspecifiedMEDICARE AND BCBS #
FL3811379-00Medicaid