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NPI Code Detail

MEDICARE: DR. ANTHONY AQUINO DC

MEDICARE:  DR. ANTHONY  AQUINO  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
1111N00000XChiropractorCH4856FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01745191OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306818067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY AQUINO DC
Provider Business Mailing Address
First Line : 4623 FOREST HILL BLVD
Second Line : SUITE 101
City : WEST PALM BEACH
State : FL
Zip : 33415-9120
Country : US
Telephone Number : 561-966-7194
Fax Number : 561-966-7191
Provider Business Practice Location Address
First Line : 2700 W CYPRESS CREEK RD
Second Line : C100
City : FORT LAUDERDALE
State : FL
Zip : 33309-1744
Country : US
Telephone Number : 954-974-3111
Fax Number : 954-974-6191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 02/27/2017

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Directions to “ DR. ANTHONY AQUINO DC” Practice Location

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