MEDICARE: CHRISTOPHER T USINA 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	CH 7224	FL

General Provider Information

NPI Number	:	1003921966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER T USINA DC

Provider Business Mailing Address
First Line	:	1052 W SR 436 STE 1070
Second Line	:	SUITE 1070
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2939
Country	:	US
Telephone Number	:	407-951-8921
Fax Number	:	407-951-8926

Provider Business Practice Location Address
First Line	:	1052 W SR 436 STE 1070
Second Line	:	SUITE 1070
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2939
Country	:	US
Telephone Number	:	407-951-8921
Fax Number	:	407-951-8926

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	10/27/2014

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