MEDICARE: COMPREHENSIVE HEALTH CARE SYSTEMS OF THE PALM BEACHES INC

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	CH0002686	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21906	OTHER	FL	GROUP BLUE CROSS BLUE SHI
2	55056881	OTHER	FL	GROUP GHI #

General Provider Information

NPI Number	:	1750329371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HEALTH CARE SYSTEMS OF THE PALM BEACHES INC

Provider Business Mailing Address
First Line	:	4676 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4624
Country	:	US
Telephone Number	:	561-684-0710
Fax Number	:	561-689-7571

Provider Business Practice Location Address
First Line	:	4676 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4624
Country	:	US
Telephone Number	:	561-684-0710
Fax Number	:	561-689-7571

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRED C BLUMENFELD
Credential	:	D.C.
Telephone Number	:	561-684-0710

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	04/28/2009

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