MEDICARE: PHILIP J SCUDERI 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	CH7741	FL

General Provider Information

NPI Number	:	1992702906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP J SCUDERI DC

Provider Business Mailing Address
First Line	:	4794 NORTHLAKE BLVD STE B
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-5910
Country	:	US
Telephone Number	:	561-775-4900
Fax Number	:	561-775-0003

Provider Business Practice Location Address
First Line	:	4794 NORTHLAKE BLVD STE B
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-5910
Country	:	US
Telephone Number	:	561-775-4900
Fax Number	:	561-775-0003

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/16/2024

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Directions to “ PHILIP J SCUDERI DC” Practice Location

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