MEDICARE: ROGER R. VERNO, D.C.P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician
2	207N00000X	Dermatology Physician
3	207Q00000X	Family Medicine Physician
4	207R00000X	Internal Medicine Physician
5	208100000X	Physical Medicine & Rehabilitation Physician
6	208VP0000X	Pain Medicine Physician
7	363AM0700X	Medical Physician Assistant
8	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1053611251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROGER R. VERNO, D.C.P.A.

Provider Business Mailing Address
First Line	:	2620 N AUSTRALIAN AVE STE 100
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5626
Country	:	US
Telephone Number	:	561-835-0109
Fax Number	:	561-847-4496

Provider Business Practice Location Address
First Line	:	2620 N AUSTRALIAN AVE STE 100
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5626
Country	:	US
Telephone Number	:	561-835-0109
Fax Number	:	561-847-4496

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROGER ROBERT VERNO
Credential	:	D.C.
Telephone Number	:	954-325-7168

Provider Enumeration Date	:	10/22/2010
Last Update Date	:	10/22/2010

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