MEDICARE: BRIAN MICHAEL MORIARTY B.S.,D.C.

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	CH9293	FL

General Provider Information

NPI Number	:	1922330687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MICHAEL MORIARTY B.S.,D.C.

Provider Business Mailing Address
First Line	:	632 SE MONTEREY RD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4410
Country	:	US
Telephone Number	:	772-219-3313
Fax Number	:

Provider Business Practice Location Address
First Line	:	632 SE MONTEREY RD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4410
Country	:	US
Telephone Number	:	772-219-3313
Fax Number	:

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

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	10/17/2022

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