MEDICARE: TOTAL HEALTH CHIROPRACTIC OF HUNTERS CREEK

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	CH9298	FL

General Provider Information

NPI Number	:	1801158035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH CHIROPRACTIC OF HUNTERS CREEK

Provider Business Mailing Address
First Line	:	12554 S JOHN YOUNG PKWY
Second Line	:	103
City	:	ORLANDO
State	:	FL
Zip	:	32837-4004
Country	:	US
Telephone Number	:	407-282-3615
Fax Number	:	407-275-7221

Provider Business Practice Location Address
First Line	:	12554 S JOHN YOUNG PKWY
Second Line	:	103
City	:	ORLANDO
State	:	FL
Zip	:	32837-4004
Country	:	US
Telephone Number	:	407-282-3615
Fax Number	:	407-275-7221

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ESTHER PICHARDO
Credential	:	D.C.
Telephone Number	:	407-282-3615

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	06/13/2012

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