MEDICARE: MICHAEL PAPA, D.C. P.A.

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	:	1750843264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL PAPA, D.C. P.A.

Provider Business Mailing Address
First Line	:	2632 W INDIANTOWN RD
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-5889
Country	:	US
Telephone Number	:	561-236-3741
Fax Number	:

Provider Business Practice Location Address
First Line	:	7556 LAKE WORTH RD STE 102
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2503
Country	:	US
Telephone Number	:	561-855-0099
Fax Number	:	800-783-5176

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	ELAINE OSWALD
Credential	:
Telephone Number	:	561-236-3741

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	04/03/2019

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