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NPI Code Detail

MEDICARE: NEW HEALTH CHIROPRACTIC WELLNESS CENTER

MEDICARE: NEW HEALTH CHIROPRACTIC WELLNESS CENTER
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
1261QH0100XHealth Service Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11578712220OTHERFLNPI
21174553606OTHERFLNPI

General Provider Information

NPI Number : 1598366684
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HEALTH CHIROPRACTIC WELLNESS CENTER
Provider Business Mailing Address
First Line : 2695 N MILITARY TRL STE 17
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-2946
Country : US
Telephone Number : 561-658-1319
Fax Number : 863-576-9953
Provider Business Practice Location Address
First Line : 2695 N MILITARY TRL STE 17
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-2946
Country : US
Telephone Number : 561-658-1319
Fax Number : 863-576-9953
Authorized Official
Title or Position : AUTHORIZED MANAGER
Name : PATRICK GERVILLE
Credential :
Telephone Number : 561-658-1319
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/04/2020

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Directions to “NEW HEALTH CHIROPRACTIC WELLNESS CENTER ” Practice Location

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