MEDICARE: DR. NOR A JOBARAH

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	CH13586	FL

General Provider Information

NPI Number	:	1871163253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOR A JOBARAH

Provider Business Mailing Address
First Line	:	185 PALMETTO AVE APT 36
Second Line	:
City	:	INDIALANTIC
State	:	FL
Zip	:	32903-2959
Country	:	US
Telephone Number	:	321-287-4871
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 S HARBOR CITY BLVD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-4654
Country	:	US
Telephone Number	:	321-333-0093
Fax Number	:

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

Provider Enumeration Date	:	06/29/2021
Last Update Date	:	09/06/2021

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