Dr. Keith L Bostaph is a Lady Lake, Florida based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Keith L Bostaph as General Chiropractor is CH8400 in Florida. Dr. Keith L Bostaph is qualified as 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.
Complete Profile:
Dr. Keith L Bostaph speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
6053 Spinnaker Loop, Lady Lake, Florida, 32159-5922
Phone:
352-638-9090
Fax:
352-638-9092
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1962416149
NPI Enumeration Date:
27 Jul, 2006
NPI Last Update On:
10 Oct, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith L Bostaph are as mentioned below.
License Number
Specialization
State
Status
CH8400
Chiropractor
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Keith L Bostaph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004450700
Medicaid
Florida
70100
Other
Florida
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6053 Spinnaker Loop, Lady Lake, Florida
Zip:
32159-5922
Phone Number:
352-638-9090
Fax Number:
352-638-9092
Patients can reach Dr. Keith L Bostaph at 6053 Spinnaker Loop, Lady Lake, Florida or can call to book an appointment on 352-638-9090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.