MEDICARE: LAPINEFAMILYCHIROPRACTICCLINIC,INC.

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	CH7690	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	:	1821018300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAPINEFAMILYCHIROPRACTICCLINIC,INC.

Provider Business Mailing Address
First Line	:	5201 BABCOCK ST NE
Second Line	:	SUITE 1
City	:	PALM BAY
State	:	FL
Zip	:	32905-4637
Country	:	US
Telephone Number	:	321-872-0770
Fax Number	:	321-872-0772

Provider Business Practice Location Address
First Line	:	5201 BABCOCK ST NE
Second Line	:	SUITE 1
City	:	PALM BAY
State	:	FL
Zip	:	32905-4637
Country	:	US
Telephone Number	:	321-872-0770
Fax Number	:	321-872-0772

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. THOMAS JOHN LAPINE JR.
Credential	:	D.C.
Telephone Number	:	321-872-0770

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	11/24/2015

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