Bryan Ford, DC | |
2720 10th Ave N, Lake Worth, FL 33461-3100 | |
(561) 540-4446 | |
Not Available |
Full Name | Bryan Ford |
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Gender | Male |
Speciality | Chiropractor |
Location | 2720 10th Ave N, Lake Worth, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699400929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH13986 (Florida) | Primary |
Provider Name | Premier Wellness Centers Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639322712 PECOS PAC ID: 8527122241 Enrollment ID: O20090126000102 |
Mailing Address | Practice Location Address |
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Bryan Ford, DC 1902 Sw Yellowtail Ave, Port St Lucie, FL 34953-2478 Ph: (248) 892-1500 | Bryan Ford, DC 2720 10th Ave N, Lake Worth, FL 33461-3100 Ph: (561) 540-4446 |
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