MEDICARE: DR. JUSTIN B DAVIS DC

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	CH15748	FL

General Provider Information

NPI Number	:	1184258790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN B DAVIS DC

Provider Business Mailing Address
First Line	:	17160 ROYAL PALM BLVD STE 1
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2395
Country	:	US
Telephone Number	:	954-546-3726
Fax Number	:

Provider Business Practice Location Address
First Line	:	17160 ROYAL PALM BLVD STE 1
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2395
Country	:	US
Telephone Number	:	954-546-3726
Fax Number	:

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

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	03/18/2026

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Directions to “ DR. JUSTIN B DAVIS DC” Practice Location

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