Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962416149 Individual Practitioner Male Practitioner

Dr. Keith L Bostaph , DC

Chiropractor • Lady Lake, FL

Professional Overview & Biography Verified Profile Summary

Dr. Keith Bostaph, DC is a registered healthcare professional specializing in Chiropractor in Lady Lake, FL. Practice services are available at 6053 SPINNAKER LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6053 Spinnaker Loop

Lady Lake, FL 321595922

Telephone 3526389090
Fax 3526389092
Associated Practice Facility / Clinic
🏢 Highland Chiropractic Inc Facility NPI 1588741979

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lady Lake, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Lady Lake, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH8400

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
004450700 (FL)
Commercial Insurance / Payer ID Bcbs
70100 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2013

Registered at 6053 SPINNAKER LOOP, LADY LAKE, FL 321595922 (Tel: 3526389090)

📍
Updated Business Mailing Address October 10, 2013

Registered at 6053 SPINNAKER LOOP, LADY LAKE, FL 321595922 (Tel: 3526389090)

👤
Provider Name / Credentials Updated October 10, 2013

Recorded as KEITH BOSTAPH, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2013

Chiropractor (License #CH8400 in FL)

🟢
Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962416149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: October 10, 2013
Sole Proprietor: No

Mailing Address

6053 Spinnaker Loop

Lady Lake, FL 321595922

Phone: 3526389090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.