Organization
DEER CREEK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R BASTKOWSKI DC (PRFESIDENT)
(954) 531-0420
Entity
Organization
Contact information
Practice address
3401 DEER CREEK COUNTRY CLUB BLVD, SUITE B, DEERFIELD BEACH, FL 33442-8427
(954) 531-0420
(954) 531-0268
Mailing address
PO BOX 4102, DEERFIELD BEACH, FL 33442-4102
(954) 531-0420
(954) 531-0268
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7166
FL
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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