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Dr. Keith L Bostaph, DC
Chiropractor in Lady Lake, Florida
NPI 1962416149

Keith L Bostaph is a Chiropractor based in Lady Lake, FL. Keith L Bostaph practices in Lady Lake, FL and has the professional credentials of DC. The NPI Number for Keith L Bostaph is 1962416149 and holds a License No. CH8400 (Florida).

The current practice location address for Keith L Bostaph is 6053 Spinnaker Loop, Lady Lake, FL and can be reached out via phone at 352-638-9090 and via fax at 352-638-9092.

Location: 6053 Spinnaker Loop, Lady Lake, FL, 32159-5922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962416149
Provider Name
Keith L Bostaph
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6053 Spinnaker Loop, Lady Lake, FL, 32159-5922
Phone Number
352-638-9090
Fax Number
352-638-9092
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004450700 05 FL
70100 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
6053 Spinnaker Loop
City
Lady Lake
State
Florida
Zip
32159-5922
Phone Number
352-638-9090
Fax Number
352-638-9092
person
Provider Business Mailing Address Details
Address
6053 Spinnaker Loop
City
Lady Lake
State
Florida
Zip
32159-5922
Phone Number
352-638-9090
Fax Number
352-638-9092
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH8400 (Florida)
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.
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