Provider Demographics
NPI:1871999755
Name:STUMPFF, ERIC (DC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:STUMPFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7860 PETERS RD
Mailing Address - Street 2:SUITE F-111
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4086
Mailing Address - Country:US
Mailing Address - Phone:954-368-4054
Mailing Address - Fax:954-769-1258
Practice Address - Street 1:7860 PETERS RD
Practice Address - Street 2:SUITE F-111
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4086
Practice Address - Country:US
Practice Address - Phone:954-368-4054
Practice Address - Fax:954-769-1258
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor