MEDICARE: DR. DAVID LIVINGSTON 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	CH7126	FL

General Provider Information

NPI Number	:	1285742825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LIVINGSTON D.C.

Provider Business Mailing Address
First Line	:	15127 JOG RD
Second Line	:	SUITE 210
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-1251
Country	:	US
Telephone Number	:	561-496-4557
Fax Number	:	561-495-2524

Provider Business Practice Location Address
First Line	:	15127 JOG RD
Second Line	:	SUITE 210
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-1251
Country	:	US
Telephone Number	:	561-496-4557
Fax Number	:	561-495-2524

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	06/07/2016

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