MEDICARE: DR. L JEFFREY BURDIGE B.S.,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	CH8541	FL

General Provider Information

NPI Number	:	1215158373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. L JEFFREY BURDIGE B.S.,D.C.

Provider Business Mailing Address
First Line	:	14838 S. MILITARY TRAIL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8153
Country	:	US
Telephone Number	:	561-860-4532
Fax Number	:	561-865-3371

Provider Business Practice Location Address
First Line	:	14838 S. MILITARY TRAIL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8153
Country	:	US
Telephone Number	:	561-860-4532
Fax Number	:	561-865-3371

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/08/2007

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