MEDICARE: SOUTH FLORIDA FAMILY 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	111NN0400X	Neurology Chiropractor	CH 8849	FL

General Provider Information

NPI Number	:	1639236748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA FAMILY CHIROPRACTIC P A

Provider Business Mailing Address
First Line	:	1470 ROYAL PALM BEACH BLVD STE A
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1608
Country	:	US
Telephone Number	:	561-422-1819
Fax Number	:	561-422-1813

Provider Business Practice Location Address
First Line	:	1470 ROYAL PALM BEACH BLVD STE A
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1608
Country	:	US
Telephone Number	:	561-422-1819
Fax Number	:	561-422-1813

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIM M DECANIO
Credential	:	D.C.
Telephone Number	:	561-422-1819

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	10/08/2008

Similar Medicare Providers

1194744789 — MARY CANANE LMHC
Practice Location Address:

1480 ROYAL PALM BEACH BLVD. , SUITE C
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Practice Phone: 561-301-5355
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1245339837 — WELLINGTON MEDICAL CARE ASSOCIATES
Practice Location Address:

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1770663486 — DR. TIMOTHY M DECANIO D.C.
Practice Location Address:

1470 ROYAL PALM BEACH BLVD STE A
ROYAL PALM BEACH, FL
33411-1608

Practice Phone: 561-422-1819
Practice Fax: 561-422-1813

1215199294 — JUAN C COLLAZOS-RODRIGUEZ M.D.
Practice Location Address:

1410 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH, FL
33411-1608

Practice Phone: 561-777-5246
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1881823847 — MRS. ERIKA PAIGE COHANE LCSW
Practice Location Address:

1480 ROYAL PALM BEACH BLVD STE C
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33411-1608

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Practice Fax:

1710293626 — IN8 ENTERPRISES PLLC
Practice Location Address:

1470 ROYAL PALM BEACH BLVD , STE. A
ROYAL PALM BEACH, FL
33411-1608

Practice Phone: 561-422-1819
Practice Fax: 561-422-1813

Directions to “SOUTH FLORIDA FAMILY CHIROPRACTIC P A ” Practice Location

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