| Brandon Chiropractic And Massage | |
|
654 E Bloomingdale Ave, Brandon, FL 33511-8111 | |
| (813) 685-5200 | |
| (813) 654-8758 |
| Full Name | Brandon Chiropractic And Massage |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 654 E Bloomingdale Ave, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639463516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8811 (Florida) | Primary |
| Provider Name | Wanda I Nieves Moreno |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891780037 PECOS PAC ID: 3375569734 Enrollment ID: I20051015000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Chiropractic And Massage 654 E Bloomingdale Ave, Brandon, FL 33511-8111 Ph: (813) 685-5200 | Brandon Chiropractic And Massage 654 E Bloomingdale Ave, Brandon, FL 33511-8111 Ph: (813) 685-5200 |
Dr. Jacqueline L Fullerton, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 409 W Bloomingdale Ave, Brandon, FL 33511 Phone: 813-689-1883 Fax: 813-684-9145 | |
Randall Israel Newton Sprague, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 166. E. Bloomingdale Ave., Suite B, Brandon, FL 33511 Phone: 813-654-7121 Fax: 813-200-3986 | |
Dr. Blaise Mitchell Delmonache, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3413 S Kings Ave, Suite 100, Brandon, FL 33511 Phone: 813-684-8489 | |
Dr. Mickey Niehoff, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1211 N Parsons Ave, Brandon, FL 33510 Phone: 813-495-8264 | |
Physicians Services Physiotherapy & Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 Vonderburg Dr Ste 105, Brandon, FL 33511 Phone: 904-800-8789 | |
Dr. Robert Kevin Valdes, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 409 W Bloomingdale Ave, Brandon, FL 33511 Phone: 813-685-7577 Fax: 813-684-9145 | |
Kreider Chiropractic Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1218 Millennium Pkwy, Brandon, FL 33511 Phone: 813-833-9552 |