MEDICARE: DR. BRITTANY NICOLE HOLLIDAY 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	CH10531	FL

General Provider Information

NPI Number	:	1215208160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY NICOLE HOLLIDAY D.C.

Provider Business Mailing Address
First Line	:	5055 NW 7TH ST
Second Line	:	APT 1010
City	:	MIAMI
State	:	FL
Zip	:	33126-3446
Country	:	US
Telephone Number	:	828-712-6934
Fax Number	:

Provider Business Practice Location Address
First Line	:	5055 NW 7TH ST
Second Line	:	APT 1010
City	:	MIAMI
State	:	FL
Zip	:	33126-3446
Country	:	US
Telephone Number	:	828-712-6934
Fax Number	:

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

Provider Enumeration Date	:	01/24/2012
Last Update Date	:	01/24/2012

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