MEDICARE: NATHALIE M DIGIORGIO DC

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	CH8071	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	70002	OTHER		BCBS

General Provider Information

NPI Number	:	1699772418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHALIE M DIGIORGIO DC

Provider Business Mailing Address
First Line	:	24 NE 24TH AVE
Second Line	:	SUITE 100
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5206
Country	:	US
Telephone Number	:	866-632-4476
Fax Number	:	954-943-7708

Provider Business Practice Location Address
First Line	:	24 NE 24TH AVE
Second Line	:	SUITE 100
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5206
Country	:	US
Telephone Number	:	866-632-4476
Fax Number	:	954-943-7708

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/09/2011

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Directions to “ NATHALIE M DIGIORGIO DC” Practice Location

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