MEDICARE: DARROW CHIROPRACTIC CENTER PA

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	4384	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70569	OTHER	FL	PTAN

General Provider Information

NPI Number	:	1871867812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARROW CHIROPRACTIC CENTER PA

Provider Business Mailing Address
First Line	:	7442 WILES RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2065
Country	:	US
Telephone Number	:	954-755-4550
Fax Number	:	955-755-4820

Provider Business Practice Location Address
First Line	:	7442 WILES RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2065
Country	:	US
Telephone Number	:	954-755-4550
Fax Number	:	955-755-4820

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANK DARROW
Credential	:	DC
Telephone Number	:	954-755-4550

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	07/31/2012

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