Individual
DR. BARRY P RAXENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1501 PRESIDENTIAL WAY, SUITE 19, WEST PALM BEACH, FL 33401-1800
(561) 686-3201
(561) 686-1622
Mailing address
1501 PRESIDENTIAL WAY, SUITE 19, WEST PALM BEACH, FL 33401-1800
(561) 686-3201
(561) 686-1622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH007858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55991
BC/BS PROVIDER NUMBER
FL
Enumeration date
07/15/2005
Last updated
07/08/2007
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