MEDICARE: FREEZE PLAY 2 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

General Provider Information

NPI Number	:	1386337236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEZE PLAY 2 INC.

Provider Business Mailing Address
First Line	:	8855 IMMOKALEE RD UNIT 13
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-3928
Country	:	US
Telephone Number	:	239-354-7754
Fax Number	:

Provider Business Practice Location Address
First Line	:	8855 IMMOKALEE RD UNIT 13
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-3928
Country	:	US
Telephone Number	:	239-354-7754
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTIC DOCTOR / OWNER
Name	:	JOSEPH MUSA
Credential	:	DC
Telephone Number	:	239-354-7754

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	07/12/2023

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Directions to “FREEZE PLAY 2 INC. ” Practice Location

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