MEDICARE: DR. GORDON JAY FRANKEL 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	CH5778	FL
2	111NR0400X	Rehabilitation Chiropractor	CH5778	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477727626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GORDON JAY FRANKEL D.C.

Provider Business Mailing Address
First Line	:	8025 BISCAYNE BVLD.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138
Country	:	US
Telephone Number	:	305-758-9550
Fax Number	:	305-758-9430

Provider Business Practice Location Address
First Line	:	8025 BISCAYNE BLVD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-4620
Country	:	US
Telephone Number	:	305-758-9550
Fax Number	:	305-758-9430

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

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	04/18/2008

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