Ashlee E Bannister, DC | |
3200 4th St N, Saint Petersburg, FL 33704-2127 | |
(727) 823-3151 | |
Not Available |
Full Name | Ashlee E Bannister |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 3200 4th St N, Saint Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659065548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH14386 (Florida) | Primary |
Provider Name | Farkas Chiropractic Clinic Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467515205 PECOS PAC ID: 6204925423 Enrollment ID: O20071211000154 |
Mailing Address | Practice Location Address |
---|---|
Ashlee E Bannister, DC 3200 4th St N, Saint Petersburg, FL 33704-2127 Ph: (727) 823-3151 | Ashlee E Bannister, DC 3200 4th St N, Saint Petersburg, FL 33704-2127 Ph: (727) 823-3151 |
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