Provider Demographics
NPI:1447695416
Name:ELEVATION HEALTH PLANTATION LLC
Entity type:Organization
Organization Name:ELEVATION HEALTH PLANTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER/AO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:YACHTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-472-6002
Mailing Address - Street 1:10189 CLEARY BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1027
Mailing Address - Country:US
Mailing Address - Phone:954-472-6002
Mailing Address - Fax:
Practice Address - Street 1:10189 CLEARY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1027
Practice Address - Country:US
Practice Address - Phone:954-472-6002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-05
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty