MEDICARE: DR. THOMAS PATRICK ENTWISTLE 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	CH 9645	FL

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	:	1528353497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS PATRICK ENTWISTLE D.C.

Provider Business Mailing Address
First Line	:	1611 N MAIN ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-3304
Country	:	US
Telephone Number	:	407-344-4878
Fax Number	:	407-344-7878

Provider Business Practice Location Address
First Line	:	1611 N MAIN ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-3304
Country	:	US
Telephone Number	:	407-344-4878
Fax Number	:	407-344-7878

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

Provider Enumeration Date	:	06/18/2011
Last Update Date	:	11/16/2021

Similar Medicare Providers

1922959055 — HA'ANE TAITINGFONG
Practice Location Address:

1611 N MAIN ST
KISSIMMEE, FL
34744-3304

Practice Phone: 407-785-1009
Practice Fax:

1609429810 — CAITLIN LINDSEY
Practice Location Address:

1611 N MAIN ST
KISSIMMEE, FL
34744-3304

Practice Phone: 407-785-1009
Practice Fax: 407-264-6443

1316793946 — MADISON MAHLENDORF
Practice Location Address:

1611 N MAIN ST
KISSIMMEE, FL
34744-3304

Practice Phone: 407-785-1009
Practice Fax:

1881587582 — MR. WALTER CEDENO JR. RBT
Practice Location Address:

1611 N MAIN ST
KISSIMMEE, FL
34744-3304

Practice Phone: 407-785-1009
Practice Fax: 407-264-6443

1275918005 — DR. CHARLES H BURNES IV D.M.D.
Practice Location Address:

3304 GREENWALD WAY N
KISSIMMEE, FL
34741-0768

Practice Phone: 407-479-7987
Practice Fax:

1588217178 — IVAN LEANDROS CUEVAS RUIZ
Practice Location Address:

3304 GREENWALD WAY N
KISSIMMEE, FL
34741-0768

Practice Phone: 407-520-3595
Practice Fax:

Directions to “ DR. THOMAS PATRICK ENTWISTLE D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.