MEDICARE: AMAZING TOUCH CHIROPRACTIC INC

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	CH0007504	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55818	OTHER	FL	BLUE CROSS BLUE SHIELD
2	FL65090	OTHER	FL	LANDMARK

General Provider Information

NPI Number	:	1902997455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING TOUCH CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	3431 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4426
Country	:	US
Telephone Number	:	305-945-4080
Fax Number	:	305-945-0806

Provider Business Practice Location Address
First Line	:	3431 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4426
Country	:	US
Telephone Number	:	305-945-4080
Fax Number	:	305-945-0806

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. MARK L DULBERG
Credential	:	DC
Telephone Number	:	305-945-4080

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	09/12/2007

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