MEDICARE: DR. CHRISTINA BUKATY 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	X009117-2	NY
2	111N00000X	Chiropractor	CH13702	FL

General Provider Information

NPI Number	:	1174615553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA BUKATY D.C.

Provider Business Mailing Address
First Line	:	21543 BELVEDERE LN
Second Line	:
City	:	ESTERO
State	:	FL
Zip	:	33928-7333
Country	:	US
Telephone Number	:	716-545-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	7051 CYPRESS TERRACE SUITE 106 ROOM 101
Second Line	:
City	:	FORT MEYERS
State	:	FL
Zip	:	33907
Country	:	US
Telephone Number	:	716-545-5757
Fax Number	:

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	02/13/2025

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