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NPI Code Detail

MEDICARE: MJ HILTON D.C.

MEDICARE: MJ HILTON D.C.
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
1111N00000XChiropractorCH 7097FL

General Provider Information

NPI Number : 1275695009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MJ HILTON D.C.
Provider Business Mailing Address
First Line : 3200 4TH ST N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33704-2127
Country : US
Telephone Number : 727-823-3151
Fax Number : 727-821-2419
Provider Business Practice Location Address
First Line : 3200 4TH ST N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33704-2127
Country : US
Telephone Number : 727-823-3151
Fax Number : 727-821-2419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 07/08/2007

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Directions to “ MJ HILTON D.C.” Practice Location

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