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NPI Code Detail

MEDICARE: CHIROPRACTIC RADIOLOGY CONSULTANTS, P.A.

MEDICARE: CHIROPRACTIC RADIOLOGY CONSULTANTS, P.A.
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
1111NR0200XRadiology ChiropractorCH7981FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
174523OTHERFLBC/BS PROVIDER NUMBER

General Provider Information

NPI Number : 1588677140
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC RADIOLOGY CONSULTANTS, P.A.
Provider Business Mailing Address
First Line : 795 NE 127TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4826
Country : US
Telephone Number : 305-895-6408
Fax Number :
Provider Business Practice Location Address
First Line : 795 NE 127TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4826
Country : US
Telephone Number : 305-895-6408
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM W ATHERTON
Credential :
Telephone Number : 305-895-6408
Provider Enumeration Date : 08/14/2006
Last Update Date : 08/22/2020

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Directions to “CHIROPRACTIC RADIOLOGY CONSULTANTS, P.A. ” Practice Location

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