Healthcare Provider Details

I. General information

NPI: 1194270306
Provider Name (Legal Business Name): SCHNEIDER CHIROPRACTIC CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 US HIGHWAY 1
JUNO BEACH FL
33408-1404
US

IV. Provider business mailing address

14100 US HIGHWAY 1
JUNO BEACH FL
33408-1404
US

V. Phone/Fax

Practice location:
  • Phone: 561-626-6711
  • Fax: 561-626-6733
Mailing address:
  • Phone: 561-626-6711
  • Fax: 561-626-6733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH11297
License Number StateFL

VIII. Authorized Official

Name: DR. GRANT A SCHNEIDER II
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C.
Phone: 561-626-6711