MEDICARE: MR. DAVID JOSEPH MARINOCK JR. 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	CH10367	FL

General Provider Information

NPI Number	:	1013292309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID JOSEPH MARINOCK JR. D.C

Provider Business Mailing Address
First Line	:	23857 HWY 27
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33859-7811
Country	:	US
Telephone Number	:	863-949-4815
Fax Number	:	863-949-4826

Provider Business Practice Location Address
First Line	:	23857 HWY 27
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33859-7811
Country	:	US
Telephone Number	:	863-949-4815
Fax Number	:	863-949-4826

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

Provider Enumeration Date	:	10/18/2011
Last Update Date	:	02/12/2026

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