MEDICARE: SUSAN WINDLAND DC PA

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

General Provider Information

NPI Number	:	1467786483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN WINDLAND DC PA

Provider Business Mailing Address
First Line	:	5965 SE FEDERAL HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7871
Country	:	US
Telephone Number	:	772-260-3212
Fax Number	:

Provider Business Practice Location Address
First Line	:	5965 SE FEDERAL HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7871
Country	:	US
Telephone Number	:	772-260-3212
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SUSAN WINDLAND
Credential	:	D.C.
Telephone Number	:	772-260-3212

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	05/14/2010

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Directions to “SUSAN WINDLAND DC PA ” Practice Location

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