MEDICARE: DR. RICHARD D. PELLEGRINO 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	CH9109	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	76062	OTHER	FL	BC/BS
2	1079464	OTHER	FL	ASHN
3	717538	OTHER	FL	UHC
4	9730738	OTHER	FL	AETNA

General Provider Information

NPI Number	:	1790880193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD D. PELLEGRINO D.C.

Provider Business Mailing Address
First Line	:	1133 S MILITARY TRL
Second Line	:
City	:	DEERFIELD BCH
State	:	FL
Zip	:	33442-7645
Country	:	US
Telephone Number	:	954-571-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 S MILITARY TRL
Second Line	:
City	:	DEERFIELD BCH
State	:	FL
Zip	:	33442-7645
Country	:	US
Telephone Number	:	954-571-9555
Fax Number	:

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/05/2017

Similar Medicare Providers

1619070844 — MRS. GILDA-JO YOUNGBLOOD RPH
Practice Location Address:

1101 S MILITARY TRL
DEERFIELD BEACH, FL
33442-7645

Practice Phone: 954-421-5358
Practice Fax: 954-421-2347

1568678712 — KIMBERLY ANN CORONADO C PHT
Practice Location Address:

1101 S MILITARY TRL
DEERFIELD BEACH, FL
33442-7645

Practice Phone: 954-421-4349
Practice Fax:

1508194705 — KIMBERLY H SEYMOUR C.PH.T.
Practice Location Address:

1101 S MILITARY TRL
DEERFIELD BEACH, FL
33442-7645

Practice Phone: 954-421-5358
Practice Fax: 954-421-2347

1285975441 — WAL-MART STORES EAST LP
Practice Location Address:

1101 S MILITARY TRL
DEERFIELD BEACH, FL
33442-7645

Practice Phone: 954-571-8007
Practice Fax:

1184067738 — FIRST FAMILY HOME CARE INC
Practice Location Address:

1121 S MILITARY TRL , SUITE 204
DEERFIELD BEACH, FL
33442-7645

Practice Phone: 954-803-3271
Practice Fax:

1457792731 — RICHARD PELLEGRINO DC INC
Practice Location Address:

1133 S MILITARY TRL
DEERFIELD BEACH, FL
33442-7645

Practice Phone: 954-571-9555
Practice Fax: 954-571-9692

Directions to “ DR. RICHARD D. PELLEGRINO D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.