MEDICARE: POMPANO SPINE AND WELLNESS, 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

General Provider Information

NPI Number	:	1881553212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POMPANO SPINE AND WELLNESS, PA

Provider Business Mailing Address
First Line	:	1446 NW BOCA RATON BLVD STE 3
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-1628
Country	:	US
Telephone Number	:	201-410-2150
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 E SAMPLE RD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-5144
Country	:	US
Telephone Number	:	201-410-2150
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES VIRGILIO
Credential	:	DC
Telephone Number	:	201-410-2150

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “POMPANO SPINE AND WELLNESS, PA ” Practice Location

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