Brandon Back Pain Relief Chiropractic, Llc | |
166 E Bloomingdale Ave Ste B, Brandon, FL 33511-8101 | |
(813) 654-7121 | |
(813) 200-3986 |
Full Name | Brandon Back Pain Relief Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 166 E Bloomingdale Ave Ste B, 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 |
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1396035655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
111NX0800X | Chiropractor - Orthopedic | (* (Not Available)) | Secondary |
Provider Name | Chad F Polley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477788917 PECOS PAC ID: 6002094026 Enrollment ID: I20110622000350 |
Mailing Address | Practice Location Address |
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Brandon Back Pain Relief Chiropractic, Llc 166 E Bloomingdale Ave Ste B, Brandon, FL 33511-8101 Ph: (813) 654-7121 | Brandon Back Pain Relief Chiropractic, Llc 166 E Bloomingdale Ave Ste B, Brandon, FL 33511-8101 Ph: (813) 654-7121 |
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 |