MEDICARE: FINNIE CHIROPRACTIC CENTER 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
1	111N00000X	Chiropractor	CH6585	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1871591529	OTHER	FL	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1639374200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINNIE CHIROPRACTIC CENTER LLC

Provider Business Mailing Address
First Line	:	1130 S SEMORAN BLVD
Second Line	:	SUITE E
City	:	ORLANDO
State	:	FL
Zip	:	32807-1457
Country	:	US
Telephone Number	:	407-277-3535
Fax Number	:	407-277-6060

Provider Business Practice Location Address
First Line	:	1130 S SEMORAN BLVD
Second Line	:	SUITE E
City	:	ORLANDO
State	:	FL
Zip	:	32807-1457
Country	:	US
Telephone Number	:	407-277-3535
Fax Number	:	407-277-6060

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JAMES D FINNIE
Credential	:	D.C.
Telephone Number	:	407-277-3535

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	08/22/2020

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