MEDICARE: DR. JOSEPH BATTAGLIA 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
1	111N00000X	Chiropractor	CH8553	FL

General Provider Information

NPI Number	:	1386861763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH BATTAGLIA DC

Provider Business Mailing Address
First Line	:	4670 LINKS VILLAGE DR
Second Line	:	UNIT #D607
City	:	PONCE INLET
State	:	FL
Zip	:	32127-3006
Country	:	US
Telephone Number	:	386-882-0547
Fax Number	:

Provider Business Practice Location Address
First Line	:	823 DUNLAWTON AVE
Second Line	:	SUITE D
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-4220
Country	:	US
Telephone Number	:	386-957-1890
Fax Number	:

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	09/11/2008

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