Provider Demographics
NPI:1538238035
Name:TRAMONTANA, MICHAEL R (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:TRAMONTANA
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 1:100 E LINTON BLVD STE 208B
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3336
Mailing Address - Country:US
Mailing Address - Phone:561-272-6047
Mailing Address - Fax:561-272-8897
Practice Address - Street 1:100 E LINTON BLVD STE 208B
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3336
Practice Address - Country:US
Practice Address - Phone:561-272-6047
Practice Address - Fax:561-272-8897
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCHOOO6523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22808Medicare ID - Type Unspecified
FLU37479Medicare UPIN