Healthcare Provider Details

I. General information

NPI: 1679307110
Provider Name (Legal Business Name): INDELICATO CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2024
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 6TH AVE E
BRADENTON FL
34208-1927
US

IV. Provider business mailing address

407 6TH AVE E
BRADENTON FL
34208-1927
US

V. Phone/Fax

Practice location:
  • Phone: 941-746-2612
  • Fax:
Mailing address:
  • Phone: 941-746-2612
  • Fax: 941-746-2789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW G FRAHM
Title or Position: PRESIDENT
Credential:
Phone: 941-746-2612