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NPI Code Detail

MEDICARE: DR. BRETT DANIEL SCHOCH D.C.

MEDICARE: DR. BRETT DANIEL SCHOCH 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
1111N00000XChiropractorCH8935FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171899OTHERFLBCBS OF FL
2692890OTHERFLACN GROUP/UNITED HEALTH

General Provider Information

NPI Number : 1174514376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRETT DANIEL SCHOCH D.C.
Provider Business Mailing Address
First Line : 2502 QUINCY AVE
Second Line :
City : FORT PIERCE
State : FL
Zip : 34947-4766
Country : US
Telephone Number : 772-302-9580
Fax Number : 772-302-9582
Provider Business Practice Location Address
First Line : 2502 QUINCY AVE
Second Line :
City : FORT PIERCE
State : FL
Zip : 34947-4766
Country : US
Telephone Number : 772-302-9580
Fax Number : 772-302-9582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 01/14/2020

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