MEDICARE: SEDAN 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	111N00000X	Chiropractor	CH 8252	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	74999	OTHER	FL	BCBSFL

General Provider Information

NPI Number	:	1336326347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEDAN INC

Provider Business Mailing Address
First Line	:	4674 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4624
Country	:	US
Telephone Number	:	561-684-1080
Fax Number	:	561-684-6221

Provider Business Practice Location Address
First Line	:	4674 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4624
Country	:	US
Telephone Number	:	561-684-1080
Fax Number	:	561-684-6221

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. GERALD RAFTOPOULOS
Credential	:	D.C.
Telephone Number	:	561-684-1080

Provider Enumeration Date	:	01/22/2008
Last Update Date	:	01/24/2025

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Directions to “SEDAN INC ” Practice Location

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