MEDICARE: 441 CHIROPRACTIC CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	HC7033	FL

General Provider Information

NPI Number	:	1003933755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	441 CHIROPRACTIC CARE, INC.

Provider Business Mailing Address
First Line	:	3640 N STATE ROAD 7
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5608
Country	:	US
Telephone Number	:	954-731-8999
Fax Number	:	954-731-0043

Provider Business Practice Location Address
First Line	:	3640 N STATE ROAD 7
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5608
Country	:	US
Telephone Number	:	954-731-8999
Fax Number	:	954-731-0043

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MAURICE EXAVIER
Credential	:
Telephone Number	:	954-731-8999

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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