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NPI Code Detail

MEDICARE: RAEMISCH CHIROPRACTIC LLC

MEDICARE: RAEMISCH CHIROPRACTIC 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
1111N00000XChiropractorCH0007066FL

General Provider Information

NPI Number : 1699920967
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAEMISCH CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 82 MAXCY PLAZA CIR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2488
Country : US
Telephone Number : 863-421-9700
Fax Number : 863-421-1953
Provider Business Practice Location Address
First Line : 82 MAXCY PLAZA CIR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2488
Country : US
Telephone Number : 863-421-9700
Fax Number : 863-421-1953
Authorized Official
Title or Position : OWNER/MEMBER
Name : CHRISTOPHER T RAEMISCH
Credential : DC
Telephone Number : 863-421-9700
Provider Enumeration Date : 11/30/2008
Last Update Date : 12/30/2008

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Directions to “RAEMISCH CHIROPRACTIC LLC ” Practice Location

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