MEDICARE: DR. EDITH EGYED PERRY 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	CH0006711	FL

General Provider Information

NPI Number	:	1538450614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDITH EGYED PERRY D.C.

Provider Business Mailing Address
First Line	:	160 W CAMINO REAL
Second Line	:	240
City	:	BOCA RATON
State	:	FL
Zip	:	33432-5942
Country	:	US
Telephone Number	:	828-773-9018
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 TILFORD E
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-2106
Country	:	US
Telephone Number	:	828-773-9018
Fax Number	:

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

Provider Enumeration Date	:	04/25/2011
Last Update Date	:	02/13/2014

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