MEDICARE: NORTHWOOD CHIROPRACTIC CENTER CORP

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

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	:	1184207326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWOOD CHIROPRACTIC CENTER CORP

Provider Business Mailing Address
First Line	:	413 24TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5401
Country	:	US
Telephone Number	:	561-318-6401
Fax Number	:	561-318-6580

Provider Business Practice Location Address
First Line	:	413 24TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5401
Country	:	US
Telephone Number	:	561-318-6401
Fax Number	:	561-318-6580

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PATRICK T DENNIS
Credential	:	DC
Telephone Number	:	561-966-6171

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	06/21/2022

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