MEDICARE: STARKEY CHIROPRACTIC INC

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	261QH0100X	Health Service Clinic/Center	CH7745	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH7745	OTHER	FL	STATE OF FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013189372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARKEY CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	461 KINGSLEY AVE
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4827
Country	:	US
Telephone Number	:	904-278-8111
Fax Number	:	904-278-5222

Provider Business Practice Location Address
First Line	:	461 KINGSLEY AVE
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4827
Country	:	US
Telephone Number	:	904-278-8111
Fax Number	:	904-278-5222

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. DAVID BRUCE STARKEY
Credential	:	DC
Telephone Number	:	904-278-8111

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	04/22/2008

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Directions to “STARKEY CHIROPRACTIC INC ” Practice Location

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