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NPI Code Detail

MEDICARE: CHARLES L MITZELFELD DC

MEDICARE:   CHARLES L MITZELFELD  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
1111N00000XChiropractorCH5144FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932105335
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES L MITZELFELD DC
Provider Business Mailing Address
First Line : 1395 N MILITARY TRL
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6016
Country : US
Telephone Number : 561-684-0333
Fax Number : 561-684-8587
Provider Business Practice Location Address
First Line : 1395 N MILITARY TRL
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6016
Country : US
Telephone Number : 561-684-0333
Fax Number : 561-684-8587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 04/03/2008

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Directions to “ CHARLES L MITZELFELD DC” Practice Location

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