DR. KEITH L BOSTAPH DC
NPI 1962416149
Chiropractor in Lady Lake, FL

Q: What is Keith Bostaph's NPI number?

The NPI number for Keith Bostaph is 1962416149. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Keith Bostaph's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Bostaph was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2006

6053 SPINNAKER LOOP, LADY LAKE, FL 32159(352) 638-9090(352) 638-9092 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Keith L Bostaph Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH L BOSTAPH DC (NPI 1962416149) is an individual chiropractor in Lady Lake, Florida, licensed in Florida (CH8400) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962416149

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. KEITH L BOSTAPHCredential: DC

Location Address6053 SPINNAKER LOOPLady Lake, FL 32159-5922

Mailing Address6053 Spinnaker LoopLady Lake, FL 32159-5922 · (352) 638-9090 · Fax (352) 638-9092

Phone(352) 638-9090

Fax(352) 638-9092

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateOctober 10, 2013

✔ NPI 1962416149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH8400

Definition

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.

6053 SPINNAKER LOOP, Lady Lake, FL 32159

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Other Identifiers 4

Medicare UPINU95925

Medicare ID-Type Unspecified70100Y

Other70100FL · Bcbs

Medicaid004450700FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Bostaph's NPI number?

The NPI number for Keith Bostaph is 1962416149. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Keith Bostaph located?

Keith Bostaph practices at 6053 Spinnaker Loop, Lady Lake, FL 32159. The listed phone number is (352) 638-9090.

What is Keith Bostaph's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Keith Bostaph was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.