MEDICARE: DR. LEIF ARTUR MARTENSSON 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	CH 8461	FL

General Provider Information

NPI Number	:	1114134855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEIF ARTUR MARTENSSON D.C.

Provider Business Mailing Address
First Line	:	717 GULF LAND DR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-4844
Country	:	US
Telephone Number	:	407-358-9526
Fax Number	:

Provider Business Practice Location Address
First Line	:	3577 LAKE EMMA RD
Second Line	:	SUITE 121
City	:	LAKE MARY
State	:	FL
Zip	:	32746-2056
Country	:	US
Telephone Number	:	407-333-2277
Fax Number	:

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. LEIF ARTUR MARTENSSON D.C.” Practice Location

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