MEDICARE: DR. KATHERINE MACHARA 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	111NR0400X	Rehabilitation Chiropractor	CH6737	FL

General Provider Information

NPI Number	:	1366582793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE MACHARA D.C.

Provider Business Mailing Address
First Line	:	3245 POST ST
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32738-9706
Country	:	US
Telephone Number	:	386-627-3659
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 ALHAMBRA DR
Second Line	:	STE.C
City	:	ORLANDO
State	:	FL
Zip	:	32808-7081
Country	:	US
Telephone Number	:	407-292-6886
Fax Number	:

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/08/2007

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