MEDICARE: CHRISTINE DOOLE 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	2541	MA
2	111N00000X	Chiropractor	CH10610	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7655381	OTHER	MA	CIGNA
3	22OUE	OTHER	FL	BCBS FL
4	Y36863	OTHER	MA	BCBS MA

General Provider Information

NPI Number	:	1285784843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE DOOLE DC

Provider Business Mailing Address
First Line	:	1400 S ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1840
Country	:	US
Telephone Number	:	954-764-8911
Fax Number	:	954-764-2150

Provider Business Practice Location Address
First Line	:	1400 S ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1840
Country	:	US
Telephone Number	:	954-764-8911
Fax Number	:	954-764-2150

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	09/28/2016

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Directions to “ CHRISTINE DOOLE DC” Practice Location

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