MEDICARE: ROBERT CANGAR

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	111NR0400X	Rehabilitation Chiropractor	3012	FL

General Provider Information

NPI Number	:	1679861199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT CANGAR

Provider Business Mailing Address
First Line	:	1261 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6228
Country	:	US
Telephone Number	:	407-437-9621
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6228
Country	:	US
Telephone Number	:	407-437-9621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	07/18/2011

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