MEDICARE: DR. STEVEN CRAIG READ 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	CH0005979	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134231731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN CRAIG READ D.C.

Provider Business Mailing Address
First Line	:	5367 ORTEGA BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-8451
Country	:	US
Telephone Number	:	904-425-4545
Fax Number	:	904-425-4548

Provider Business Practice Location Address
First Line	:	5367 ORTEGA BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-8447
Country	:	US
Telephone Number	:	904-425-4545
Fax Number	:	904-425-4548

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/11/2014

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