MEDICARE: PREZIOSI WEST EAST ORLANDO CHIROPRACTIC CLINIC 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	261Q00000X	Clinic/Center	CH004352	FL
2	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528337169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREZIOSI WEST EAST ORLANDO CHIROPRACTIC CLINIC LLC

Provider Business Mailing Address
First Line	:	7206 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822
Country	:	US
Telephone Number	:	407-293-1259
Fax Number	:	407-293-1789

Provider Business Practice Location Address
First Line	:	7206 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-5806
Country	:	US
Telephone Number	:	407-293-1259
Fax Number	:	407-293-1789

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. VINCENT A PREZIOSI
Credential	:	D.C.
Telephone Number	:	407-269-1259

Provider Enumeration Date	:	12/28/2011
Last Update Date	:	08/26/2013

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