| Burghealth P.a. | |
|
6535 4th St N, St Petersburg, FL 33702-6813 | |
| (727) 289-9148 | |
| Not Available |
| Full Name | Burghealth P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6535 4th St N, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043897234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Samuel Wallace Rutland Richards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992149249 PECOS PAC ID: 0840426995 Enrollment ID: I20131119000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Burghealth P.a. 6535 4th St N, St Petersburg, FL 33702-6813 Ph: (727) 289-9148 | Burghealth P.a. 6535 4th St N, St Petersburg, FL 33702-6813 Ph: (727) 289-9148 |
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