100 Chiro Malpica Llc | |
11360 Legacy Ave Unit 110, Palm Beach Gardens, FL 33410-3663 | |
(561) 247-5380 | |
Not Available |
Full Name | 100 Chiro Malpica Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11360 Legacy Ave Unit 110, Palm Beach Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588312987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Indira Alejandra Malpica |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619423522 PECOS PAC ID: 9335524487 Enrollment ID: I20220915000114 |
Mailing Address | Practice Location Address |
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100 Chiro Malpica Llc 2221 Nw Federal Hwy Apt 2448, Stuart, FL 34994-9491 Ph: (561) 566-0447 | 100 Chiro Malpica Llc 11360 Legacy Ave Unit 110, Palm Beach Gardens, FL 33410-3663 Ph: (561) 247-5380 |
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