MEDICARE: MISS MEGAN K FLOARKE D.C

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	111NI0013X	Independent Medical Examiner Chiropractor	2011037864	MO
2	111NI0013X	Independent Medical Examiner Chiropractor	038012061	IL

General Provider Information

NPI Number	:	1326315888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MEGAN K FLOARKE D.C

Provider Business Mailing Address
First Line	:	12032 TESSON FERRY RD
Second Line	:	SUITE 216
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-1774
Country	:	US
Telephone Number	:	314-843-0005
Fax Number	:	314-842-9899

Provider Business Practice Location Address
First Line	:	13035 OLIVE BLVD
Second Line	:	SUITE 216
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-6173
Country	:	US
Telephone Number	:	314-542-2003
Fax Number	:	314-542-2007

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

Provider Enumeration Date	:	11/28/2011
Last Update Date	:	12/02/2016

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