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NPI Code Detail

MEDICARE: THOMAS CHIROPRACTIC CLINIC INC

MEDICARE: THOMAS CHIROPRACTIC CLINIC 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
1111N00000XChiropractorCH0004323FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4350056451OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1361657900OTHERFLOWCP
270320OTHERFLBLUE CROSS BLUE SHIELD
33822596OTHERFLHEALTHSMART

General Provider Information

NPI Number : 1922032762
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS CHIROPRACTIC CLINIC INC
Provider Business Mailing Address
First Line : 1508 SW MAPP RD
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2446
Country : US
Telephone Number : 772-781-9987
Fax Number : 772-781-5384
Provider Business Practice Location Address
First Line : 1508 SW MAPP RD
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2446
Country : US
Telephone Number : 772-781-9987
Fax Number : 772-781-5384
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS D KLEINMAN
Credential : DC
Telephone Number : 772-781-9987
Provider Enumeration Date : 07/10/2006
Last Update Date : 05/20/2010

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Directions to “THOMAS CHIROPRACTIC CLINIC INC ” Practice Location

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