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NPI Code Detail

MEDICARE: NATALIE BOYLAND DC

MEDICARE:   NATALIE  BOYLAND  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
1111N00000XChiropractorCH11180FL
2111N00000XChiropractorCHIR009252GA

General Provider Information

NPI Number : 1235544016
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE BOYLAND DC
Provider Business Mailing Address
First Line : 7542 S US HIGHWAY 1
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34952-1450
Country : US
Telephone Number : 772-873-8595
Fax Number : 772-873-8597
Provider Business Practice Location Address
First Line : 7542 S US HIGHWAY 1
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34952-1450
Country : US
Telephone Number : 772-873-8595
Fax Number : 772-873-8597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2014
Last Update Date : 06/30/2014

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Directions to “ NATALIE BOYLAND DC” Practice Location

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