MEDICARE: CHRISTOPHER GOETZ D.C.

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	CH7230	FL

General Provider Information

NPI Number	:	1760696785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER GOETZ D.C.

Provider Business Mailing Address
First Line	:	3501 SW 116TH AVE
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-1713
Country	:	US
Telephone Number	:	305-670-0055
Fax Number	:	305-670-0054

Provider Business Practice Location Address
First Line	:	9425 SUNSET DR STE 130
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3295
Country	:	US
Telephone Number	:	305-216-1964
Fax Number	:	305-670-0054

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	02/23/2023

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