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NPI Code Detail

MEDICARE: DR. PAUL RICHARD CONTI DC

MEDICARE: DR. PAUL RICHARD CONTI 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
1111N00000XChiropractorCH12787FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11235484122OTHERFLNPI GROUP

General Provider Information

NPI Number : 1013577220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL RICHARD CONTI DC
Provider Business Mailing Address
First Line : 1717 N FEDERAL HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-6642
Country : US
Telephone Number : 561-585-5677
Fax Number : 561-585-8905
Provider Business Practice Location Address
First Line : 1717 N FEDERAL HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-6642
Country : US
Telephone Number : 561-585-5677
Fax Number : 561-585-8905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 10/09/2020

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Directions to “ DR. PAUL RICHARD CONTI DC” Practice Location

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