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NPI Code Detail

MEDICARE: DR. PAOLA ANDREA BREGOLAT

MEDICARE: DR. PAOLA ANDREA BREGOLAT
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
1111N00000XChiropractorCH15726FL

General Provider Information

NPI Number : 1790644599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAOLA ANDREA BREGOLAT
Provider Business Mailing Address
First Line : 223 AVENUE A
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4415
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 223 AVENUE A
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4415
Country : US
Telephone Number : 772-332-7374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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Directions to “ DR. PAOLA ANDREA BREGOLAT ” Practice Location

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