MEDICARE: DR. ADOLFO CARLO GUADAGNO 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	CH6060	FL

General Provider Information

NPI Number	:	1154424257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADOLFO CARLO GUADAGNO D.C.

Provider Business Mailing Address
First Line	:	15118 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-3228
Country	:	US
Telephone Number	:	305-386-9559
Fax Number	:	305-386-9561

Provider Business Practice Location Address
First Line	:	15118 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-3228
Country	:	US
Telephone Number	:	305-386-9559
Fax Number	:	305-386-9561

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. ADOLFO CARLO GUADAGNO D.C.” Practice Location

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