MEDICARE: ACCURATE HEALTHCARE GROUP 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	:	1619169745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCURATE HEALTHCARE GROUP PA

Provider Business Mailing Address
First Line	:	401 CANAL ST
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7009
Country	:	US
Telephone Number	:	724-494-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 CANAL ST
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7009
Country	:	US
Telephone Number	:	724-494-5815
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JACOB TAYLOR STITELER
Credential	:	D.C.
Telephone Number	:	724-494-5815

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	09/06/2007

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