MEDICARE: QUARTELL CHIROPRACTIC

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	CH7713	FL

General Provider Information

NPI Number	:	1659363547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUARTELL CHIROPRACTIC

Provider Business Mailing Address
First Line	:	7100 FAIRWAY DR
Second Line	:	STE 33
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3777
Country	:	US
Telephone Number	:	561-625-5556
Fax Number	:	561-625-4622

Provider Business Practice Location Address
First Line	:	7100 FAIRWAY DR
Second Line	:	STE 33
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3777
Country	:	US
Telephone Number	:	561-625-5556
Fax Number	:	561-625-4622

Authorized Official
Title or Position	:	CHIROPRACTOR OWNER
Name	:	MR. DAVID J QUARTELL
Credential	:	DC
Telephone Number	:	561-625-5556

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	10/03/2011

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