Carlos Andres Herrera, | |
3210 Highway 77, Panama City, FL 32405-5022 | |
(850) 769-2220 | |
Not Available |
Full Name | Carlos Andres Herrera |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 7 Years |
Location | 3210 Highway 77, Panama City, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194227421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH12400 (Florida) | Primary |
Provider Name | Seaside Spine Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215313705 PECOS PAC ID: 7315294691 Enrollment ID: O20180718000052 |
Provider Name | Seaside Spine Mary Esther Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174113922 PECOS PAC ID: 0244648038 Enrollment ID: O20210415001493 |
Mailing Address | Practice Location Address |
---|---|
Carlos Andres Herrera, 4643 Canary Cir, Crestview, FL 32539-5808 Ph: (850) 305-5793 | Carlos Andres Herrera, 3210 Highway 77, Panama City, FL 32405-5022 Ph: (850) 769-2220 |
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