MEDICARE: DR. PATRECE ADELE FRISBEE 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	CH000006620	FL

General Provider Information

NPI Number	:	1023254414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRECE ADELE FRISBEE D.C.

Provider Business Mailing Address
First Line	:	9420 SW 77TH AVE
Second Line	:	SUITE 100
City	:	MIAMI
State	:	FL
Zip	:	33156-2501
Country	:	US
Telephone Number	:	305-666-1402
Fax Number	:	305-666-1402

Provider Business Practice Location Address
First Line	:	9420 SW 77TH AVE
Second Line	:	SUITE 100
City	:	MIAMI
State	:	FL
Zip	:	33156-2501
Country	:	US
Telephone Number	:	305-666-1402
Fax Number	:	305-666-1402

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

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	07/01/2016

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