MEDICARE: DR. JOSEPH SCALIA JR. 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	CH8016	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3017259	OTHER	FL	AETNA
2	70019	OTHER	FL	BLUE CROSS BLUE SHIELD
3	44-02474	OTHER	FL	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1083780068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH SCALIA JR. D.C.

Provider Business Mailing Address
First Line	:	2901 RIVERSIDE DR
Second Line	:	UNIT 204
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5538
Country	:	US
Telephone Number	:	561-305-2611
Fax Number	:	954-796-3534

Provider Business Practice Location Address
First Line	:	5772 WILES RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2156
Country	:	US
Telephone Number	:	954-796-2611
Fax Number	:	954-796-3534

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/09/2007

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