MEDICARE: SPIRELLI HEALTHCARE OF NORTH MIAMI

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	CH0006771	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55188	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1972622926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPIRELLI HEALTHCARE OF NORTH MIAMI

Provider Business Mailing Address
First Line	:	20423 STATE ROAD 7
Second Line	:	F-6, #259
City	:	BOCA RATON
State	:	FL
Zip	:	33498-6797
Country	:	US
Telephone Number	:	954-972-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1352 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4623
Country	:	US
Telephone Number	:	954-972-2255
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEAN ANTHONY SPIRELLI
Credential	:	D.C.
Telephone Number	:	954-972-2255

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/22/2020

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Directions to “SPIRELLI HEALTHCARE OF NORTH MIAMI ” Practice Location

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