MEDICARE: EMIL 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	111NR0400X	Rehabilitation Chiropractor	3031	OH
2	111NR0400X	Rehabilitation Chiropractor	736	WV
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1750426896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMIL CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2146 58TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-4647
Country	:	US
Telephone Number	:	304-312-3445
Fax Number	:	913-513-4007

Provider Business Practice Location Address
First Line	:	2146 58TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-4647
Country	:	US
Telephone Number	:	304-312-3445
Fax Number	:	913-513-4007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EMIL RICHARD NARDONE
Credential	:	DC
Telephone Number	:	304-312-3445

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	04/25/2023

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Directions to “EMIL CHIROPRACTIC LLC ” Practice Location

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