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NPI Code Detail

MEDICARE: DR. BRIAN E HUFFMAN D.C.

MEDICARE:  DR. BRIAN E HUFFMAN  D.C.
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
1111N00000XChiropractorCH11905FL

General Provider Information

NPI Number : 1710438403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN E HUFFMAN D.C.
Provider Business Mailing Address
First Line : 12995 S CLEVELAND AVE
Second Line : SUITE 253
City : FORT MYERS
State : FL
Zip : 33907-3890
Country : US
Telephone Number : 239-482-5446
Fax Number :
Provider Business Practice Location Address
First Line : 12995 S CLEVELAND AVE
Second Line : SUITE 253
City : FORT MYERS
State : FL
Zip : 33907-3890
Country : US
Telephone Number : 239-482-5446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2016
Last Update Date : 10/18/2016

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Directions to “ DR. BRIAN E HUFFMAN D.C.” Practice Location

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