MEDICARE: FOREST HILL INJURY CENTER 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	CH6907	FL

General Provider Information

NPI Number	:	1366611410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST HILL INJURY CENTER INC.

Provider Business Mailing Address
First Line	:	4731 W ATLANTIC AVE
Second Line	:	SUITE B 21
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3897
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1495 FOREST HILL BLVD
Second Line	:	SUITE D
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6073
Country	:	US
Telephone Number	:	561-433-9999
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	ROBERT RAY SITNER
Credential	:
Telephone Number	:	561-495-1212

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	02/22/2008

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