MEDICARE: AMIR MOHIT KERMANI 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
1	111N00000X	Chiropractor	CH 7501	FL

General Provider Information

NPI Number	:	1336269547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR MOHIT KERMANI D.C.

Provider Business Mailing Address
First Line	:	1865 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4805
Country	:	US
Telephone Number	:	305-949-5353
Fax Number	:	305-949-7377

Provider Business Practice Location Address
First Line	:	1865 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4805
Country	:	US
Telephone Number	:	305-949-5353
Fax Number	:	305-949-7377

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

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	07/08/2007

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