MEDICARE: MR. GERALD H. RAPPAPORT 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	9029	FL
2	111N00000X	Chiropractor	CH9029	FL

General Provider Information

NPI Number	:	1033173018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GERALD H. RAPPAPORT D.C.

Provider Business Mailing Address
First Line	:	3317 NW 10 TERR
Second Line	:	SUITE 406
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33309
Country	:	US
Telephone Number	:	954-229-8300
Fax Number	:	954-229-8303

Provider Business Practice Location Address
First Line	:	3317 NW 10TH TER STE 406
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-5941
Country	:	US
Telephone Number	:	954-229-8300
Fax Number	:	954-229-8303

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	06/05/2018

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