MEDICARE: FLORIDA CHIROPRACTIC AND REHABILITATION CLINICS PL

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	CH8628	FL

General Provider Information

NPI Number	:	1033223110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CHIROPRACTIC AND REHABILITATION CLINICS PL

Provider Business Mailing Address
First Line	:	1918 ROBINHOOD ST
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-3620
Country	:	US
Telephone Number	:	941-955-3272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 ROBINHOOD ST
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-3620
Country	:	US
Telephone Number	:	941-955-3272
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JARED ASHLEY WINTERS
Credential	:	D.O.
Telephone Number	:	941-320-3951

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	09/10/2013

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