| Advanced Wellness & Chiropractic Clinic | |
|
15151 S Us Highway 441, Summerfield, FL 34491-4481 | |
| (352) 307-0033 | |
| (352) 307-1998 |
| Full Name | Advanced Wellness & Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15151 S Us Highway 441, Summerfield, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255513602 | NPI | - | NPPES |
| 3813525-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH2831 (Florida) | Primary |
| 305R00000X | Preferred Provider Organization | CH2831 (New York) | Secondary |
| Provider Name | Thomas F Mammana |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740206572 PECOS PAC ID: 6709956642 Enrollment ID: I20080603000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wellness & Chiropractic Clinic 15151 S Us Highway 441, Suite 200, Summerfield, FL 34491-4481 Ph: (352) 307-0033 | Advanced Wellness & Chiropractic Clinic 15151 S Us Highway 441, Summerfield, FL 34491-4481 Ph: (352) 307-0033 |
Dr. Ryne Neville, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 15580 S Us Highway 441, Summerfield, FL 34491 Phone: 352-347-3404 Fax: 352-347-3350 | |
Dr. Richard G Fenn, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10935 Se 177th Pl Ste 106, Summerfield, FL 34491 Phone: 561-626-5433 Fax: 561-626-3371 | |
Restore Health Group S-corp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10935 Se 177th Pl Ste 206, Summerfield, FL 34491 Phone: 647-402-0303 | |
Dr. Michael Anthony Shamat, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15151 Hwy 441, Summerfield, FL 34491 Phone: 352-307-0033 Fax: 352-307-1998 | |
Dr. Gary Paul Brodeur, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16345 Se 83rd Ave, Summerfield, FL 34491 Phone: 401-391-3063 | |
Port St. Joe Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16910 S Us Highway 441, Summerfield, FL 34491 Phone: 850-960-8118 Fax: 352-347-9044 |