MEDICARE: DAVID GREYDINGER 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	CH9091	FL
2	111N00000X	Chiropractor	009225	NY

General Provider Information

NPI Number	:	1821148057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GREYDINGER DC

Provider Business Mailing Address
First Line	:	240 188TH ST
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-2436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5913 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1303
Country	:	US
Telephone Number	:	561-296-5243
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	04/25/2012

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Directions to “ DAVID GREYDINGER DC” Practice Location

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