MEDICARE: MADISON ELIZABETH CARFAGNA 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	15708	FL

General Provider Information

NPI Number	:	1962365304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON ELIZABETH CARFAGNA DC

Provider Business Mailing Address
First Line	:	5125 W TYSON AVE UNIT 201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-3887
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 S ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3308
Country	:	US
Telephone Number	:	813-254-4377
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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