MEDICARE: ACCURATE HEALTHCARE WEST ORLANDO 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

General Provider Information

NPI Number	:	1316584196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCURATE HEALTHCARE WEST ORLANDO INC.

Provider Business Mailing Address
First Line	:	401 CANAL ST
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 GOOD HOMES RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6628
Country	:	US
Telephone Number	:	407-601-7940
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACOB STITELER
Credential	:	DC
Telephone Number	:	386-427-2722

Provider Enumeration Date	:	11/29/2019
Last Update Date	:	11/29/2019

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