MEDICARE: NORTH LAUDERDALE MEDICAL 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	CH5384	FL

General Provider Information

NPI Number	:	1396907184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH LAUDERDALE MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	5460 N STATE ROAD 7
Second Line	:	SUITE 132
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33319-2952
Country	:	US
Telephone Number	:	954-535-9888
Fax Number	:	954-535-9994

Provider Business Practice Location Address
First Line	:	5460 N STATE ROAD 7
Second Line	:	SUITE 132
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33319-2952
Country	:	US
Telephone Number	:	954-535-9888
Fax Number	:	954-535-9994

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRANK RODRIGUEZ
Credential	:	DC
Telephone Number	:	954-535-9888

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	07/02/2008

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