MEDICARE: DR. PATRICK T DENNIS 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	111NX0800X	Orthopedic Chiropractor	CH0006354	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	:	1821086430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK T DENNIS D.C.

Provider Business Mailing Address
First Line	:	1825 FOREST HILL BLVD
Second Line	:	SUITE 202
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-8902
Country	:	US
Telephone Number	:	561-966-6171
Fax Number	:	561-434-4696

Provider Business Practice Location Address
First Line	:	1825 FOREST HILL BLVD
Second Line	:	SUITE 202
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-8902
Country	:	US
Telephone Number	:	561-966-6171
Fax Number	:	561-434-4696

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	04/01/2013

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