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NPI Code Detail

MEDICARE: CHIROPRACTICALLY OURS, LLC

MEDICARE: CHIROPRACTICALLY OURS, LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1497363246
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTICALLY OURS, LLC
Provider Business Mailing Address
First Line : 1717 N FEDERAL HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-6642
Country : US
Telephone Number : 561-585-5677
Fax Number :
Provider Business Practice Location Address
First Line : 1717 N FEDERAL HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-6642
Country : US
Telephone Number : 561-585-5677
Fax Number : 561-585-8905
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : PAUL CONTI
Credential :
Telephone Number : 561-585-5677
Provider Enumeration Date : 07/17/2020
Last Update Date : 10/09/2020

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Directions to “CHIROPRACTICALLY OURS, LLC ” Practice Location

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