MEDICARE: JUST DO IT THERAPY LLC

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	CH8252	FL

General Provider Information

NPI Number	:	1922545664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST DO IT THERAPY LLC

Provider Business Mailing Address
First Line	:	6901 OKEECHOBEE BLVD STE D7
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2513
Country	:	US
Telephone Number	:	561-371-3326
Fax Number	:	561-684-6221

Provider Business Practice Location Address
First Line	:	6901 OKEECHOBEE BLVD STE D7
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2513
Country	:	US
Telephone Number	:	561-371-3326
Fax Number	:	561-684-6221

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GERALD RAFTOPOULOS
Credential	:	DC
Telephone Number	:	561-371-3326

Provider Enumeration Date	:	01/19/2017
Last Update Date	:	01/19/2017

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Directions to “JUST DO IT THERAPY LLC ” Practice Location

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