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NPI Code Detail

MEDICARE: ST GERMAIN CHIROPRACTIC,PA

MEDICARE: ST GERMAIN CHIROPRACTIC,PA
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
1111N00000XChiropractorCH0005913FL

General Provider Information

NPI Number : 1255515029
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST GERMAIN CHIROPRACTIC,PA
Provider Business Mailing Address
First Line : PO BOX 1657
Second Line :
City : APOPKA
State : FL
Zip : 32704-1657
Country : US
Telephone Number : 407-889-3223
Fax Number : 407-889-7263
Provider Business Practice Location Address
First Line : 877 S ORANGE BLOSSOM TRAIL
Second Line :
City : APOPKA
State : FL
Zip : 32703-6522
Country : US
Telephone Number : 407-889-3223
Fax Number : 407-889-7263
Authorized Official
Title or Position : ADMINISTRATIVE ASSISTANT
Name : MS. LESLIE KARI
Credential :
Telephone Number : 407-889-3223
Provider Enumeration Date : 12/28/2007
Last Update Date : 11/10/2010

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Directions to “ST GERMAIN CHIROPRACTIC,PA ” Practice Location

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