LEV SUDAKOV DC PA NPI 1457511172

NPI Information

  • NPI: 1457511172
  • Provider Name: LEV SUDAKOV DC PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: OCEAN DRIVE CHIROPRACTIC & WELLNESS CENTER
  • Address: 3800 S OCEAN DR STE 230
    HOLLYWOOD, FL
    ZIP 33019
  • Phone: (954) 391-7864

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NPI Details

LEV SUDAKOV DC PA is a chiropractor in Hollywood, FL. The provider is 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. LEV SUDAKOV DC PA NPI is 1457511172. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ocean Drive Chiropractic & Wellness Center.

The provider's business location address is:

3800 S OCEAN DR STE 230
HOLLYWOOD, FL
ZIP 33019-930
Phone: (954) 391-7864
Fax: (954) 391-8468

The provider's authorized official is Lev Sudakov .
The authorized official title is President and has the following contact phone number (954) 391-7864.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 7/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH8450FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000170100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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