MEDICARE: DR. ANDRE FLADELL DC

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	CH 2806	FL

General Provider Information

NPI Number	:	1760663892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRE FLADELL DC

Provider Business Mailing Address
First Line	:	1642 S FEDERAL HWY
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5030
Country	:	US
Telephone Number	:	561-272-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1642 S FEDERAL HWY
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5030
Country	:	US
Telephone Number	:	561-272-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	11/16/2007

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Directions to “ DR. ANDRE FLADELL DC” Practice Location

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