MEDICARE: DR. NORMAN ADELKOPF 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	CH6937	FL

General Provider Information

NPI Number	:	1043424096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN ADELKOPF D.C.

Provider Business Mailing Address
First Line	:	5051 LAKEWOOD DR
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33330-2634
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6820 DYKES RD
Second Line	:
City	:	SOUTHWEST RANCHES
State	:	FL
Zip	:	33331-4663
Country	:	US
Telephone Number	:	954-252-5656
Fax Number	:

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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