MEDICARE: DR. CHRISTOPHER JUDE FOX DC

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	CH8560	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	88865	OTHER	FL	BC/ BS OF FLORIDA

General Provider Information

NPI Number	:	1811921539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JUDE FOX DC

Provider Business Mailing Address
First Line	:	3030 S DIXIE HWY
Second Line	:	SUITE 4
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-1539
Country	:	US
Telephone Number	:	561-650-1205
Fax Number	:	561-650-1206

Provider Business Practice Location Address
First Line	:	3030 S DIXIE HWY
Second Line	:	SUITE 4
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-1539
Country	:	US
Telephone Number	:	561-650-1205
Fax Number	:	561-650-1206

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	01/10/2008

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