MEDICARE: DR. JOSEPH ANTHONY AMUNATEGUI II DC

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	CH0006851	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ID 0103025	OTHER	FL	CERT WORKMENS COMP

General Provider Information

NPI Number	:	1104838333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ANTHONY AMUNATEGUI II DC

Provider Business Mailing Address
First Line	:	1025 E HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4478
Country	:	US
Telephone Number	:	954-458-1223
Fax Number	:	954-458-6150

Provider Business Practice Location Address
First Line	:	1025 E HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4478
Country	:	US
Telephone Number	:	954-458-1223
Fax Number	:	954-458-6150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

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