MEDICARE: ANDREW J CHARNI 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	CH5232	FL

General Provider Information

NPI Number	:	1922143601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW J CHARNI DC

Provider Business Mailing Address
First Line	:	5100 W COPANS RD
Second Line	:	STE 1010
City	:	MARGATE
State	:	FL
Zip	:	33063-7747
Country	:	US
Telephone Number	:	954-975-9988
Fax Number	:	954-975-9989

Provider Business Practice Location Address
First Line	:	5100 W COPANS RD
Second Line	:	SUITE 1010
City	:	MARGATE
State	:	FL
Zip	:	33063-7747
Country	:	US
Telephone Number	:	954-975-9988
Fax Number	:	954-975-9989

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	11/14/2007

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