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NPI Code Detail

MEDICARE: DR. CORNELIUS JOSEPH MCGEEHAN DC

MEDICARE: DR. CORNELIUS JOSEPH MCGEEHAN DC
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
1111N00000XChiropractorCH001619FL

General Provider Information

NPI Number : 1376529800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CORNELIUS JOSEPH MCGEEHAN DC
Provider Business Mailing Address
First Line : 4630 DARLINGTON RD
Second Line :
City : HOLIDAY
State : FL
Zip : 34690-3906
Country : US
Telephone Number : 727-937-4223
Fax Number : 727-937-4224
Provider Business Practice Location Address
First Line : 4630 DARLINGTON RD
Second Line :
City : HOLIDAY
State : FL
Zip : 34690-3906
Country : US
Telephone Number : 727-937-4223
Fax Number : 727-937-4224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 07/08/2007

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Directions to “ DR. CORNELIUS JOSEPH MCGEEHAN DC” Practice Location

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