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Individual

DR. DAVID BRIAN BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., A.P.

Contact information

Practice address
1560 SAWGRASS CORPORATE PKWY, 4TH FLOOR, SUNRISE, FL 33323-2858
(954) 649-6540
Mailing address
9737 NW 65TH PL, PARKLAND, FL 33076-2315
(954) 649-6540

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3178
FL
171100000X
Acupuncturist
AP1911
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CV878A
MEDICARE PTAN#
FL
Enumeration date
05/23/2007
Last updated
05/19/2010
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