MEDICARE: BRANDEN RACE D.C., LLC

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	:	1417721846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANDEN RACE D.C., LLC

Provider Business Mailing Address
First Line	:	425 W COLONIAL DR STE 303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	813-553-2269
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 W COLONIAL DR STE 303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	813-677-9500
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	BRANDEN RACE
Credential	:	DC
Telephone Number	:	813-553-2269

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	05/27/2026

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