MEDICARE: MICHELLE SEWARD 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	13030	FL

General Provider Information

NPI Number	:	1780224048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SEWARD D.C

Provider Business Mailing Address
First Line	:	12479 S ACCESS RD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33981-6206
Country	:	US
Telephone Number	:	941-229-1887
Fax Number	:

Provider Business Practice Location Address
First Line	:	12479 S ACCESS RD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33981-6206
Country	:	US
Telephone Number	:	941-229-1887
Fax Number	:

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

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	02/13/2020

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