MEDICARE: STANGER HEALTH CARE CENTERS INC

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	103G00000X	Clinical Neuropsychologist	PY3266	FL
2	111N00000X	Chiropractor	CH8449	FL
3	111N00000X	Chiropractor	CH9239	FL
4	111N00000X	Chiropractor	CH8100	FL
5	207Q00000X	Family Medicine Physician	ME36462	FL
6	207T00000X	Neurological Surgery Physician	ME8830	FL
7	207T00000X	Neurological Surgery Physician	ME96190	FL
8	207XX0801X	Orthopaedic Trauma Physician	ME80307	FL
9	225100000X	Physical Therapist	PT008827	FL
10	111N00000X	Chiropractor	CH3463	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K1961	OTHER	FL	MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1326212887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STANGER HEALTH CARE CENTERS INC

Provider Business Mailing Address
First Line	:	601 N CONGRESS AVE
Second Line	:	SUITE 417
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4703
Country	:	US
Telephone Number	:	561-498-4300
Fax Number	:	561-498-4539

Provider Business Practice Location Address
First Line	:	601 N CONGRESS AVE
Second Line	:	SUITE 417
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4703
Country	:	US
Telephone Number	:	561-498-4300
Fax Number	:	561-498-4539

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY L STANGER
Credential	:	D.C.
Telephone Number	:	561-498-4300

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	04/22/2008

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Directions to “STANGER HEALTH CARE CENTERS INC ” Practice Location

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