MEDICARE: TOTAL ALIGN CHIROPRACTIC 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

General Provider Information

NPI Number	:	1841824513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL ALIGN CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	3939 S CONGRESS AVE STE 108
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4119
Country	:	US
Telephone Number	:	561-693-4270
Fax Number	:	561-450-6372

Provider Business Practice Location Address
First Line	:	3939 S CONGRESS AVE STE 108
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4119
Country	:	US
Telephone Number	:	561-693-4270
Fax Number	:	561-693-4278

Authorized Official
Title or Position	:	CHIROPRACTIC MEDICINE
Name	:	TOTAL ALIGN CHIROPRACTIC
Credential	:
Telephone Number	:	561-693-4270

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	03/23/2023

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