DR. Keith L Bostaph, DC

NPI #1962416149 in Lady Lake, Florida

Provider Information

NPI Number: 1962416149
Entity Type: Individual
Name: DR. Keith L Bostaph, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 27, 2006
Last Updated: Oct 10, 2013

Practice Location

Address: 6053 SPINNAKER LOOP
City: Lady Lake
State: Florida
ZIP Code: 32159-5922
Phone: (352) 638-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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