MEDICARE: INCLEDON CHIROPRACTIC P.A.

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	CH7416	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DR3227	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	604421	OTHER	FL	UNITED HEALTHCARE
3	P2586587	OTHER	FL	OXFORD
5	53941	OTHER	FL	BLUE CROSS

General Provider Information

NPI Number	:	1043538135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INCLEDON CHIROPRACTIC P.A.

Provider Business Mailing Address
First Line	:	6609 WOOLBRIGHT RD
Second Line	:	SUITE 414
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-0910
Country	:	US
Telephone Number	:	561-865-8390
Fax Number	:	561-865-1730

Provider Business Practice Location Address
First Line	:	6609 WOOLBRIGHT RD
Second Line	:	SUITE 414
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-0910
Country	:	US
Telephone Number	:	561-865-8390
Fax Number	:	561-865-1730

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES DAREN INCLEDON
Credential	:	D.C.
Telephone Number	:	561-865-8390

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	10/29/2015

Similar Medicare Providers

1316962939 — DR. JAMES DAREN INCLEDON D.C.
Practice Location Address:

6609 WOOLBRIGHT RD , SUITE 414
BOYNTON BEACH, FL
33437-0910

Practice Phone: 561-865-8390
Practice Fax: 561-865-1730

1285722884 — DR. HISHAM R ASHRY DPM
Practice Location Address:

6609 WOOLBRIGHT RD STE 416
BOYNTON BEACH, FL
33437-0910

Practice Phone: 561-244-4980
Practice Fax: 561-244-4979

1407377542 — EMILY KATHRYN INCLEDON RD, LDN, MS
Practice Location Address:

6609 WOOLBRIGHT RD STE 414
BOYNTON BEACH, FL
33437-0910

Practice Phone: 845-489-1385
Practice Fax:

1154149599 — DR. STEVEN DENNIS INCLEDON DC
Practice Location Address:

6609 WOOLBRIGHT RD STE 414
BOYNTON BEACH, FL
33437-0910

Practice Phone: 561-865-8390
Practice Fax: 561-865-1730

1407719495 — AMBER LYNN MELTON APRN
Practice Location Address:

10301 HAGEN RANCH RD STE B200
BOYNTON BEACH, FL
33437-3723

Practice Phone: 561-752-9490
Practice Fax: 561-752-9491

1518803956 — CAROLINE KAROLINKO
Practice Location Address:

6293 COUNTRY FAIR CIR
BOYNTON BEACH, FL
33437-2808

Practice Phone: 786-470-9720
Practice Fax:

Directions to “INCLEDON CHIROPRACTIC P.A. ” Practice Location

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