MEDICARE: CHIROPRACTIC TO THE MAX LLC

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

General Provider Information

NPI Number	:	1215626676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC TO THE MAX LLC

Provider Business Mailing Address
First Line	:	6996 PIAZZA GRANDE AVE STE 217
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8753
Country	:	US
Telephone Number	:	321-710-7736
Fax Number	:

Provider Business Practice Location Address
First Line	:	6996 PIAZZA GRANDE AVE STE 217
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8753
Country	:	US
Telephone Number	:	321-710-7736
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	MAXWELL BOWMAN MCLAUGHLIN
Credential	:	DC
Telephone Number	:	321-710-7736

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	10/05/2023

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