MEDICARE: JULIE M SHUBICK 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	CH10957	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1942532809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE M SHUBICK DC

Provider Business Mailing Address
First Line	:	5901 WOODPOINT TER
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-6882
Country	:	US
Telephone Number	:	386-212-9991
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 VICTORIA COMMONS BLVD STE 106
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7773
Country	:	US
Telephone Number	:	386-873-4787
Fax Number	:

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

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	11/11/2022

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Directions to “ JULIE M SHUBICK DC” Practice Location

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