MEDICARE: DR. TODD JOSEPH CIELO DC

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	CH7670	FL

General Provider Information

NPI Number	:	1891788279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD JOSEPH CIELO DC

Provider Business Mailing Address
First Line	:	3710 W EUCLID AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8725
Country	:	US
Telephone Number	:	813-835-7550
Fax Number	:	813-835-7557

Provider Business Practice Location Address
First Line	:	3710 W EUCLID AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8725
Country	:	US
Telephone Number	:	813-835-7550
Fax Number	:	813-835-7557

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	07/08/2007

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