MEDICARE: SIMPSON CHIROPRACTIC PAIN AND WELLNESS CENTER PA

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	CH8266	FL

General Provider Information

NPI Number	:	1750623369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPSON CHIROPRACTIC PAIN AND WELLNESS CENTER PA

Provider Business Mailing Address
First Line	:	2624 FOREST HILL BLVD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-5931
Country	:	US
Telephone Number	:	561-907-4981
Fax Number	:	772-463-9565

Provider Business Practice Location Address
First Line	:	2624 FOREST HILL BLVD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-5931
Country	:	US
Telephone Number	:	561-907-4981
Fax Number	:	772-463-9565

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHARLES A SIMPSON
Credential	:	D.C.
Telephone Number	:	772-463-2344

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	03/21/2013

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