MEDICARE: JAMES BILLINGSLEY 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	CH12725	FL

General Provider Information

NPI Number	:	1457907495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES BILLINGSLEY DC

Provider Business Mailing Address
First Line	:	102 HALF MOON CIR APT B2
Second Line	:
City	:	HYPOLUXO
State	:	FL
Zip	:	33462-5441
Country	:	US
Telephone Number	:	314-458-7091
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 S CONGRESS AVE STE 305
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-7346
Country	:	US
Telephone Number	:	314-458-7091
Fax Number	:

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

Provider Enumeration Date	:	08/15/2019
Last Update Date	:	08/15/2019

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Directions to “ JAMES BILLINGSLEY DC” Practice Location

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