MEDICARE: DR. BRADFORD QUERIDO LEVINE 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	CH5503	FL

General Provider Information

NPI Number	:	1487761821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADFORD QUERIDO LEVINE D.C.

Provider Business Mailing Address
First Line	:	741 LAKE CATHERINE DR
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-5538
Country	:	US
Telephone Number	:	407-644-4201
Fax Number	:

Provider Business Practice Location Address
First Line	:	499 E CENTRAL PKWY
Second Line	:	#215
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3402
Country	:	US
Telephone Number	:	407-332-1904
Fax Number	:

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. BRADFORD QUERIDO LEVINE D.C.” Practice Location

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