MEDICARE: OLINDA FLORO 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	2860	MN

General Provider Information

NPI Number	:	1518904895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLINDA FLORO D.C.

Provider Business Mailing Address
First Line	:	9198 E STARING LN
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55347-2518
Country	:	US
Telephone Number	:	952-934-7582
Fax Number	:	952-949-6989

Provider Business Practice Location Address
First Line	:	9198 E STARING LN
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55347-2518
Country	:	US
Telephone Number	:	952-934-7582
Fax Number	:	952-949-6989

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/08/2007

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Directions to “ OLINDA FLORO D.C.” Practice Location

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