Provider Demographics
NPI:1992981104
Name:UNGER, STEPHEN JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JOHN
Last Name:UNGER
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 1:2154 DUCK SLOUGH BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5003
Mailing Address - Country:US
Mailing Address - Phone:727-264-8888
Mailing Address - Fax:727-264-8817
Practice Address - Street 1:2154 DUCK SLOUGH BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5003
Practice Address - Country:US
Practice Address - Phone:727-264-8888
Practice Address - Fax:727-264-8817
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor