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NPI Code Detail

MEDICARE: SHORE CHIROPRACTIC PA

MEDICARE: SHORE CHIROPRACTIC PA
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
1111N00000XChiropractor8361FL

General Provider Information

NPI Number : 1356513188
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHORE CHIROPRACTIC PA
Provider Business Mailing Address
First Line : 245 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5206
Country : US
Telephone Number : 561-278-2727
Fax Number : 561-279-9237
Provider Business Practice Location Address
First Line : 245 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5206
Country : US
Telephone Number : 561-278-2727
Fax Number : 561-279-9237
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. MARILYN SHORE
Credential : D.C.
Telephone Number : 561-278-2727
Provider Enumeration Date : 04/01/2008
Last Update Date : 06/18/2008

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Directions to “SHORE CHIROPRACTIC PA ” Practice Location

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