MEDICARE: DYNAMIC CHIROPRACTIC & ACUPUNCTURE LLC

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

General Provider Information

NPI Number	:	1649129503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC CHIROPRACTIC & ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	85 SE 4TH AVE STE 104
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-4574
Country	:	US
Telephone Number	:	203-727-7232
Fax Number	:	561-960-2516

Provider Business Practice Location Address
First Line	:	85 SE 4TH AVE STE 104
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-4574
Country	:	US
Telephone Number	:	203-727-7232
Fax Number	:	561-960-2516

Authorized Official
Title or Position	:	OWNER
Name	:	TATUM BUCKLEY
Credential	:	DC
Telephone Number	:	203-727-7232

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “DYNAMIC CHIROPRACTIC & ACUPUNCTURE LLC ” Practice Location

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