MEDICARE: RAGONE ENTERPRISES INC

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	CH7953	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	53915	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1285929687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAGONE ENTERPRISES INC

Provider Business Mailing Address
First Line	:	3296 NW 9TH AVE
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-5912
Country	:	US
Telephone Number	:	954-566-1919
Fax Number	:	954-566-1915

Provider Business Practice Location Address
First Line	:	3296 NW 9TH AVE
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-5912
Country	:	US
Telephone Number	:	954-566-1919
Fax Number	:	954-566-1915

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHY A RAGONE
Credential	:	D.C.
Telephone Number	:	954-566-1919

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	06/14/2011

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Directions to “RAGONE ENTERPRISES INC ” Practice Location

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