MEDICARE: CEDAR FAMILY 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1740133321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR FAMILY CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	223 AVENUE A
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 AVENUE A
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4415
Country	:	US
Telephone Number	:	772-332-7374
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DR. PAOLA ANDREA BREGOLAT
Credential	:	DC
Telephone Number	:	772-332-7374

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	05/13/2026

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Directions to “CEDAR FAMILY CHIROPRACTIC LLC ” Practice Location

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