MEDICARE: DR. BERNARD ALEXANDER GREAUX 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	111N00000X	Chiropractor	CH8214	FL

General Provider Information

NPI Number	:	1346281854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD ALEXANDER GREAUX D.C.

Provider Business Mailing Address
First Line	:	2440 NE MIAMI GARDENS DR
Second Line	:	#101
City	:	MIAMI
State	:	FL
Zip	:	33180-2734
Country	:	US
Telephone Number	:	305-705-0777
Fax Number	:	305-705-9978

Provider Business Practice Location Address
First Line	:	2440 NE MIAMI GARDENS DR
Second Line	:	#101
City	:	MIAMI
State	:	FL
Zip	:	33180-2734
Country	:	US
Telephone Number	:	305-705-0777
Fax Number	:	305-705-9978

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	01/27/2014

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