MEDICARE: TELECHIRO FLORIDA LLC

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

General Provider Information

NPI Number	:	1073476958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELECHIRO FLORIDA LLC

Provider Business Mailing Address
First Line	:	PO BOX 2
Second Line	:
City	:	LUDOWICI
State	:	GA
Zip	:	31316-0002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10033 SAWGRASS DR W
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-3564
Country	:	US
Telephone Number	:	813-553-2269
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDEN RACE
Credential	:	DC
Telephone Number	:	813-553-2269

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “TELECHIRO FLORIDA LLC ” Practice Location

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