Doctor Name: | DR. RUSS TANNENBAUM |
NPI Number: | 1487727186 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC PA |
License Number: | CH0004086 |
Business Practice Address: | 5800 Colonial Drive Ste 305 Margate, FL - 33063 |
Business Phone Number: | 9545874300 |
Business Fax Number: | 9545874018 |
Mailing Address: | 5800 Colonial Drive, Ste 305 MARGATE |
State: | FL |
Postal Code: | 33063 |
Phone Number: | 9549792333 |
Fax Number: | 9549688468 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH0004086 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |