MEDICARE: MR. JOSEPH SEFICK D.C.

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	111NR0400X	Rehabilitation Chiropractor	CH8263	FL

General Provider Information

NPI Number	:	1922147990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH SEFICK D.C.

Provider Business Mailing Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	#606
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-856-3833
Fax Number	:	407-856-2833

Provider Business Practice Location Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	#606
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-856-3833
Fax Number	:	407-856-2833

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	07/08/2007

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