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NPI Code Detail

MEDICARE: VAN PRAAG CHIROPRACTIC

MEDICARE: VAN PRAAG CHIROPRACTIC
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
1111N00000XChiropractorCH0004374FL

General Provider Information

NPI Number : 1629219134
Entity Type Code : Organization
Provider Name (Legal Business Name) : VAN PRAAG CHIROPRACTIC
Provider Business Mailing Address
First Line : 5931 BENEVA RD
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2504
Country : US
Telephone Number : 941-923-1845
Fax Number : 941-923-1846
Provider Business Practice Location Address
First Line : 5931 BENEVA RD
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2504
Country : US
Telephone Number : 941-923-1845
Fax Number : 941-923-1846
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFF VAN PRAAG
Credential : D.C.
Telephone Number : 941-923-1845
Provider Enumeration Date : 03/12/2009
Last Update Date : 03/12/2009

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Directions to “VAN PRAAG CHIROPRACTIC ” Practice Location

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