MEDICARE: DR. MEAGAN PETRONE 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	CHR.0007884	CO
2	111N00000X	Chiropractor	CH12575	FL

General Provider Information

NPI Number	:	1881175057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEAGAN PETRONE DC

Provider Business Mailing Address
First Line	:	4971 LE CHALET BLVD STE 100
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N US HIGHWAY 1 # 606A
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-3072
Country	:	US
Telephone Number	:	772-276-7286
Fax Number	:

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

Provider Enumeration Date	:	08/27/2018
Last Update Date	:	05/30/2023

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Directions to “ DR. MEAGAN PETRONE DC” Practice Location

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