Provider Demographics
NPI:1992820260
Name:HANDEL, RANDY ROSENBERG (DC)
Entity type:Individual
Prefix:DR
First Name:RANDY
Middle Name:ROSENBERG
Last Name:HANDEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7685 RED RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5812
Mailing Address - Country:US
Mailing Address - Phone:561-689-5022
Mailing Address - Fax:561-689-5071
Practice Address - Street 1:5725 CORPORATE WAY
Practice Address - Street 2:SUITE 204
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2007
Practice Address - Country:US
Practice Address - Phone:561-689-5022
Practice Address - Fax:561-689-5071
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7612111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor