MEDICARE: MEYER MEDICAL AND CHIROPRACTIC

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	261Q00000X	Clinic/Center		FL

General Provider Information

NPI Number	:	1790101921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEYER MEDICAL AND CHIROPRACTIC

Provider Business Mailing Address
First Line	:	910 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-7247
Country	:	US
Telephone Number	:	407-445-4500
Fax Number	:	407-770-5514

Provider Business Practice Location Address
First Line	:	910 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-7247
Country	:	US
Telephone Number	:	407-445-4500
Fax Number	:	407-770-5514

Authorized Official
Title or Position	:	CHIROPRACTOR/ OWNER
Name	:	DR. MAX C MEYER
Credential	:	D.C
Telephone Number	:	407-445-4500

Provider Enumeration Date	:	03/12/2014
Last Update Date	:	03/12/2014

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