NPI 1003214917

Trent Gregory Kozman, DC

Practitioner Chiropractor South Daytona, FL

Practice location

Address: 2741 S Ridgewood Ave, South Daytona, FL 32119-3539
Phone: (740) 403-9150
Mailing address: 3900 Yorktowne Blvd APT 1506, Port Orange, FL 32129-6058

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH 11353 (FL)

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Registry record

NPI: 1003214917
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2014
Record last updated: 9 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.