MEDICARE: DR. ALEX WASSERMAN 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
1	111N00000X	Chiropractor	CH11277	FL

General Provider Information

NPI Number	:	1417365701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX WASSERMAN DC

Provider Business Mailing Address
First Line	:	2900 N MILITARY TRL
Second Line	:	SUITE #220
City	:	BOCA RATON
State	:	FL
Zip	:	33431-6365
Country	:	US
Telephone Number	:	561-997-8898
Fax Number	:	561-997-8953

Provider Business Practice Location Address
First Line	:	4215 BURNS RD STE 250
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4625
Country	:	US
Telephone Number	:	561-747-5234
Fax Number	:	561-747-6123

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

Provider Enumeration Date	:	07/30/2014
Last Update Date	:	04/16/2024

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