MEDICARE: DR JOSEPH BATTAGLIA DC 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	CH8553	FL

General Provider Information

NPI Number	:	1891967253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR JOSEPH BATTAGLIA DC PA

Provider Business Mailing Address
First Line	:	823 DUNLAWTON AVE
Second Line	:	SUITE D
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-4220
Country	:	US
Telephone Number	:	386-957-1890
Fax Number	:	386-492-8061

Provider Business Practice Location Address
First Line	:	823 DUNLAWTON AVE
Second Line	:	SUITE D
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-4220
Country	:	US
Telephone Number	:	386-957-1890
Fax Number	:	386-492-8061

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH BATTAGLIA
Credential	:	DC
Telephone Number	:	386-957-1890

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	09/11/2008

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