Individual
DR. ANDRE E VOSKRESSENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9070 KIMBERLY BLVD STE 58, BOCA RATON, FL 33434-2861
(561) 990-3644
(954) 719-3764
Mailing address
9070 KIMBERLY BLVD STE 58, BOCA RATON, FL 33434-2861
(561) 990-3644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0005425
FL
111NR0400X
Rehabilitation Chiropractor
CH0005425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380208600
—
FL
01
—
70884
FLORIDABLUE
FL
Enumeration date
04/24/2007
Last updated
12/23/2020
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