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NPI Code Detail

MEDICARE: CONFORTI CHIROPRACTIC & WELLNESS CENTER INC

MEDICARE: CONFORTI CHIROPRACTIC & WELLNESS CENTER 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
1111N00000XChiropractorCH7630FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316010143
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONFORTI CHIROPRACTIC & WELLNESS CENTER INC
Provider Business Mailing Address
First Line : 4040 TAMPA RD
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-3205
Country : US
Telephone Number : 813-818-7499
Fax Number : 813-818-7239
Provider Business Practice Location Address
First Line : 4040 TAMPA RD
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-3205
Country : US
Telephone Number : 813-818-7499
Fax Number : 813-818-7239
Authorized Official
Title or Position : BILLING MANAGER
Name : GEORGE WAYNE BLAKE
Credential :
Telephone Number : 813-818-7499
Provider Enumeration Date : 11/17/2006
Last Update Date : 01/24/2013

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1558432492 — DR. CARL G CONFORTI D.C.
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Directions to “CONFORTI CHIROPRACTIC & WELLNESS CENTER INC ” Practice Location

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