MEDICARE: MATTHEW D SIBLEY 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	CH0006786	FL

General Provider Information

NPI Number	:	1780782656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW D SIBLEY DC

Provider Business Mailing Address
First Line	:	900 E ATLANTIC AVE
Second Line	:	SUITE 6
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-6954
Country	:	US
Telephone Number	:	561-272-4100
Fax Number	:	561-272-8702

Provider Business Practice Location Address
First Line	:	900 E ATLANTIC AVE
Second Line	:	SUITE 6
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-6954
Country	:	US
Telephone Number	:	561-272-4100
Fax Number	:	561-272-8702

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	12/22/2014

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