MEDICARE: SHUMWAY WELLNESS CENTER INC

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	CH9337	FL

General Provider Information

NPI Number	:	1649418690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHUMWAY WELLNESS CENTER INC

Provider Business Mailing Address
First Line	:	3079 E. COMMERCIAL BLVD.
Second Line	:	SUITE 201
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	954-640-9893
Fax Number	:	954-200-7809

Provider Business Practice Location Address
First Line	:	3079 E. COMMERCIAL BLVD.
Second Line	:	SUITE 201
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33308-4311
Country	:	US
Telephone Number	:	954-640-9893
Fax Number	:	954-200-7809

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMY SHUMWAY
Credential	:	D.C.
Telephone Number	:	954-640-9893

Provider Enumeration Date	:	01/29/2009
Last Update Date	:	10/03/2011

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Directions to “SHUMWAY WELLNESS CENTER INC ” Practice Location

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