MEDICARE: WINDMILL CHIROPRACTIC 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
1	111N00000X	Chiropractor		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	611612000	OTHER	FL	DOL FECA
2	74518	OTHER	FL	GROUP BCBS

General Provider Information

NPI Number	:	1598827461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINDMILL CHIROPRACTIC P.A.

Provider Business Mailing Address
First Line	:	17160 ROYAL PALM BLVD STE 1
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2395
Country	:	US
Telephone Number	:	954-217-4881
Fax Number	:	954-217-4991

Provider Business Practice Location Address
First Line	:	17160 ROYAL PALM BLVD STE 1
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2395
Country	:	US
Telephone Number	:	954-217-4881
Fax Number	:	954-217-4991

Authorized Official
Title or Position	:	CHIROPRACTOR OWNER
Name	:	DR. RICK JASON BEHAR
Credential	:	D.C.
Telephone Number	:	954-217-4881

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	05/07/2008

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