MEDICARE: M KLEMPNER, D.C.,P.A.

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	CH3775	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11N000000X	OTHER	FL	CHIROPRACTOR

General Provider Information

NPI Number	:	1154877082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M KLEMPNER, D.C.,P.A.

Provider Business Mailing Address
First Line	:	2240 W WOOLBRIGHT RD STE 414
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6367
Country	:	US
Telephone Number	:	561-777-7312
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 W WOOLBRIGHT RD STE 414
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6367
Country	:	US
Telephone Number	:	561-777-7312
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK ERROL KLEMPNER
Credential	:	DC
Telephone Number	:	561-777-7312

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/31/2016

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