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NPI Code Detail

MEDICARE: CHIROPRACTIC CLINICS, INC.

MEDICARE: CHIROPRACTIC CLINICS, INC.
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1205021086
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC CLINICS, INC.
Provider Business Mailing Address
First Line : 516 PATRICIA AVE
Second Line :
City : DUNEDIN
State : FL
Zip : 34698-7813
Country : US
Telephone Number : 727-736-1000
Fax Number : 727-736-3556
Provider Business Practice Location Address
First Line : 516 PATRICIA AVE
Second Line :
City : DUNEDIN
State : FL
Zip : 34698-7813
Country : US
Telephone Number : 727-736-1000
Fax Number : 727-736-3556
Authorized Official
Title or Position : CHIROPRACTOR
Name : LYNN COLUCCI
Credential : DC
Telephone Number : 727-736-1000
Provider Enumeration Date : 09/13/2007
Last Update Date : 09/19/2007

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Directions to “CHIROPRACTIC CLINICS, INC. ” Practice Location

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