Champion Wellness Of Haines City, Llc | |
82 Maxcy Plaza Cir, Haines City, FL 33844-2488 | |
(863) 421-9700 | |
(863) 421-1953 |
Full Name | Champion Wellness Of Haines City, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 82 Maxcy Plaza Cir, Haines City, 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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1932821378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brett R Summers |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548831993 PECOS PAC ID: 7911371109 Enrollment ID: I20230330001952 |
Mailing Address | Practice Location Address |
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Champion Wellness Of Haines City, Llc 82 Maxcy Plaza Cir, Haines City, FL 33844-2488 Ph: (863) 421-9700 | Champion Wellness Of Haines City, Llc 82 Maxcy Plaza Cir, Haines City, FL 33844-2488 Ph: (863) 421-9700 |
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