Provider Demographics
NPI:1962535641
Name:DAVIN R. BARBANELL DC PA
Entity type:Organization
Organization Name:DAVIN R. BARBANELL DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARBANELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-949-6740
Mailing Address - Street 1:204 THREE ISLANDS BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7301
Mailing Address - Country:US
Mailing Address - Phone:305-949-6740
Mailing Address - Fax:
Practice Address - Street 1:919 NE 62ND ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-4116
Practice Address - Country:US
Practice Address - Phone:954-772-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty