MEDICARE: DR. JAMIE ALLEN FINE 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	111N00000X	Chiropractor	CH 7528	FL

General Provider Information

NPI Number	:	1003933615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE ALLEN FINE D.C.

Provider Business Mailing Address
First Line	:	4651 SHERIDAN STREET
Second Line	:	SUITE 220
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021
Country	:	US
Telephone Number	:	954-965-0421
Fax Number	:

Provider Business Practice Location Address
First Line	:	4651 SHERIDAN ST
Second Line	:	SUITE 220
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3457
Country	:	US
Telephone Number	:	954-965-0421
Fax Number	:

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	09/02/2016

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