MEDICARE: DR. JOSHUA KIRBY D.C.

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	CH10912	FL

General Provider Information

NPI Number	:	1467880005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA KIRBY D.C.

Provider Business Mailing Address
First Line	:	5675 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3124
Country	:	US
Telephone Number	:	954-341-2256
Fax Number	:	954-341-2264

Provider Business Practice Location Address
First Line	:	5675 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3124
Country	:	US
Telephone Number	:	954-341-2256
Fax Number	:	954-341-2264

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

Provider Enumeration Date	:	10/16/2013
Last Update Date	:	10/16/2013

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