MEDICARE: DR. BROOKLYN BICE 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	15470	FL

General Provider Information

NPI Number	:	1225827371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BROOKLYN BICE DC

Provider Business Mailing Address
First Line	:	9685 LAKE NONA VILLAGE PL STE 205
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7322
Country	:	US
Telephone Number	:	407-627-1148
Fax Number	:	407-627-1149

Provider Business Practice Location Address
First Line	:	9685 LAKE NONA VILLAGE PL STE 205
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7322
Country	:	US
Telephone Number	:	407-627-1148
Fax Number	:	407-627-1149

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

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	11/05/2025

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Directions to “ DR. BROOKLYN BICE DC” Practice Location

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