MEDICARE: NEWBERRY CHIROPRACTIC HEALTH SERVICES, 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	7305	FL

General Provider Information

NPI Number	:	1508942814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWBERRY CHIROPRACTIC HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	4509 NW 23RD AVE
Second Line	:	SUITE 14
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6570
Country	:	US
Telephone Number	:	352-377-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	4509 NW 23RD AVE
Second Line	:	SUITE 14
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6570
Country	:	US
Telephone Number	:	352-377-5433
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. RHONDA S FELHEIM
Credential	:	D.C.
Telephone Number	:	352-377-5433

Provider Enumeration Date	:	10/29/2006
Last Update Date	:	08/22/2020

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