MEDICARE: MITCHELL F GAJ 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	CH5116	FL

General Provider Information

NPI Number	:	1811958473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHELL F GAJ D.C.

Provider Business Mailing Address
First Line	:	1936 LEE RD STE 137
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-7201
Country	:	US
Telephone Number	:	407-423-0038
Fax Number	:	407-992-9419

Provider Business Practice Location Address
First Line	:	1936 LEE RD STE 137
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-7201
Country	:	US
Telephone Number	:	407-423-0038
Fax Number	:

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	04/27/2023

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