MEDICARE: BRONSON FAMILY CHIROPRACTIC, P.A.

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	CH8569	FL

General Provider Information

NPI Number	:	1306968961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRONSON FAMILY CHIROPRACTIC, P.A.

Provider Business Mailing Address
First Line	:	11000 PROSPERITY FARMS RD
Second Line	:	SUITE 101
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3462
Country	:	US
Telephone Number	:	561-694-8877
Fax Number	:	561-694-8898

Provider Business Practice Location Address
First Line	:	11000 PROSPERITY FARMS RD
Second Line	:	SUITE 101
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3462
Country	:	US
Telephone Number	:	561-694-8877
Fax Number	:	561-694-8898

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AARON E BRONSON
Credential	:	D.C.
Telephone Number	:	561-694-8877

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	04/30/2010

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