| Ancient City Chiropractic | |
|
84 Theatre Dr Ste 500, St Augustine, FL 32086-3131 | |
| (904) 222-6440 | |
| Not Available |
| Full Name | Ancient City Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 84 Theatre Dr Ste 500, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073721494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH 1503 (Florida) | Primary |
| Provider Name | Catherine Anne Accurso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699716092 PECOS PAC ID: 3274532973 Enrollment ID: I20061206000443 |
| Provider Name | Joseph W Accurso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518062728 PECOS PAC ID: 2062586209 Enrollment ID: I20080805000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Ancient City Chiropractic 84 Theatre Dr Ste 500, St Augustine, FL 32086-3131 Ph: (904) 222-6440 | Ancient City Chiropractic 84 Theatre Dr Ste 500, St Augustine, FL 32086-3131 Ph: (904) 222-6440 |
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