MEDICARE: DR. DAVIN R BARBANELL B.A. D.C.

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	CH9162	FL

General Provider Information

NPI Number	:	1639267180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVIN R BARBANELL B.A. D.C.

Provider Business Mailing Address
First Line	:	204 THREE ISLANDS BLVD APT 202
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-7301
Country	:	US
Telephone Number	:	305-934-8444
Fax Number	:

Provider Business Practice Location Address
First Line	:	2775 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4007
Country	:	US
Telephone Number	:	305-949-6740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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