MEDICARE: MATTHEW N PARRIS 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	CH 8349	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2220994	OTHER	FL	FIRST HEALTH

General Provider Information

NPI Number	:	1649456930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW N PARRIS D.C.

Provider Business Mailing Address
First Line	:	1867 20TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3573
Country	:	US
Telephone Number	:	772-569-0830
Fax Number	:	772-569-9914

Provider Business Practice Location Address
First Line	:	1867 20TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3573
Country	:	US
Telephone Number	:	772-569-0830
Fax Number	:	772-569-9914

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

Provider Enumeration Date	:	01/16/2008
Last Update Date	:	01/16/2008

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