MEDICARE: MORSE CHIROPRACTIC 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	CH7701	FL

General Provider Information

NPI Number	:	1275790123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORSE CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	444 SW ALACHUA AVE
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-5213
Country	:	US
Telephone Number	:	386-719-5656
Fax Number	:	386-719-5654

Provider Business Practice Location Address
First Line	:	444 SW ALACHUA AVE
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-5213
Country	:	US
Telephone Number	:	386-719-5656
Fax Number	:	386-719-5654

Authorized Official
Title or Position	:	CFO / BILLING SUPERVISOR
Name	:	MRS. ELIZABETH M MORSE
Credential	:
Telephone Number	:	386-719-5656

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	05/19/2008

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Directions to “MORSE CHIROPRACTIC LLC ” Practice Location

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