| Bensa Chiropractic And Wellness | |
|
4618 E State Road 64, Bradenton, FL 34208-9012 | |
| (386) 295-7176 | |
| Not Available |
| Full Name | Bensa Chiropractic And Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4618 E State Road 64, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457027922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Nicole Mari Santana Rodriguez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083100309 PECOS PAC ID: 5294084315 Enrollment ID: I20180823001268 |
| Provider Name | Jose E Benejan Lorenzo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467016667 PECOS PAC ID: 9234465923 Enrollment ID: I20190802000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Bensa Chiropractic And Wellness 4618 E State Road 64, Bradenton, FL 34208-9012 Ph: (386) 295-7176 | Bensa Chiropractic And Wellness 4618 E State Road 64, Bradenton, FL 34208-9012 Ph: (386) 295-7176 |
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