MEDICARE: CERWINSKY CHIROPRACTIC CENTER

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	CH 7533	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801919378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERWINSKY CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	1560 MATTHEW DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-936-5545
Fax Number	:	239-936-5482

Provider Business Practice Location Address
First Line	:	1560 MATTHEW DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-936-5545
Fax Number	:	239-936-5482

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. EDWARD CERWINSKY II
Credential	:	D.C.
Telephone Number	:	239-936-5545

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	06/13/2008

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