Medicare Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9088 Issued in FL

Legal business name

MEDICARE CLINIC INC

Practice address

750 E Sample Rd
B1 U5
Pompano Beach, FL 33064-5144

Phone

(954) 601-2974

Fax

(954) 783-1080

NPI assigned

Mar 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ana P Edson

Title

Office Manager

Phone

(954) 601-2974

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1699040352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD",
            "address_2": "B1 U5",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "954-601-2974",
            "fax_number": "954-783-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD",
            "address_2": "B1 U5",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "954-601-2974",
            "fax_number": "954-783-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "EDSON",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-601-2974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical & Biotech Depot Inc.
• Medical Affiliates
• Medical Center of Pompano, Inc.
• Medical Supply Barrera Office Inc
• Medical Therapeutics, Inc
• Raquel Medina
• Mediplus Clinic, Inc
• Mediplus Clinic, Inc.
• Medirect Latino, Inc.
• Margaret Medley, ARNP

• Chiropractor in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.