MEDICARE: BEE RIDGE CHIROPRACTIC CENTER 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	CH8091	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K2568	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	U84768 0001	OTHER	FL	UPIN
3	70249	OTHER	FL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992994040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEE RIDGE CHIROPRACTIC CENTER LLC

Provider Business Mailing Address
First Line	:	PO BOX 21962
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34276-4962
Country	:	US
Telephone Number	:	941-365-8555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3139 SOUTHGATE CIR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-5515
Country	:	US
Telephone Number	:	941-365-8555
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. DARREN JAMES EDMONDS
Credential	:	D.C.
Telephone Number	:	941-365-8555

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	10/22/2012

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Directions to “BEE RIDGE CHIROPRACTIC CENTER LLC ” Practice Location

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