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NPI Code Detail

MEDICARE: DR. DAVID RUSSELL MOTE DC

MEDICARE:  DR. DAVID RUSSELL MOTE  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
1111N00000XChiropractorCH0006242FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
222533OTHERFLBLUE CROSS BLUE SHIELD
3603595500OTHERFLOWCP

General Provider Information

NPI Number : 1619941234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID RUSSELL MOTE DC
Provider Business Mailing Address
First Line : 3111 BOYNTON BEACH BLVD
Second Line : SUITE 200
City : BOYNTON BEACH
State : FL
Zip : 33436-4500
Country : US
Telephone Number : 561-742-3283
Fax Number : 561-742-3280
Provider Business Practice Location Address
First Line : 3111 BOYNTON BEACH BLVD
Second Line : SUITE 200
City : BOYNTON BEACH
State : FL
Zip : 33436-4500
Country : US
Telephone Number : 561-742-3283
Fax Number : 561-742-3280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 10/02/2008

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Directions to “ DR. DAVID RUSSELL MOTE DC” Practice Location

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