MEDICARE: APPLIED SPORTS & INJURY CENTER, 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	CH7505	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55824	OTHER	FL	BC BS PROVIDER

General Provider Information

NPI Number	:	1558585679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED SPORTS & INJURY CENTER, INC.

Provider Business Mailing Address
First Line	:	7711 N MILITARY TRL STE 214
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6506
Country	:	US
Telephone Number	:	561-881-3003
Fax Number	:	561-881-3011

Provider Business Practice Location Address
First Line	:	7711 N MILITARY TRL STE 214
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6506
Country	:	US
Telephone Number	:	561-881-3003
Fax Number	:	561-881-3011

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. ROBERT KLEINFELD
Credential	:	D.C.
Telephone Number	:	561-881-3003

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	05/11/2017

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Directions to “APPLIED SPORTS & INJURY CENTER, INC. ” Practice Location

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