Charles Thomas Witherell, DC | |
974 Old Dixie Hwy, Homestead, FL 33030-4933 | |
(305) 247-7300 | |
(305) 248-0513 |
Full Name | Charles Thomas Witherell |
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Gender | Male |
Speciality | Chiropractic |
Experience | 33 Years |
Location | 974 Old Dixie Hwy, Homestead, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760440788 | NPI | - | NPPES |
381-778-400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2061 (North Carolina) | Secondary |
111N00000X | Chiropractor | CH6625 (Florida) | Primary |
Provider Name | Witherell Chiropractic Health Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528361011 PECOS PAC ID: 6204099864 Enrollment ID: O20120517000303 |
Mailing Address | Practice Location Address |
---|---|
Charles Thomas Witherell, DC 97 Ne 15th St, Homestead, FL 33030-4557 Ph: (305) 247-7300 | Charles Thomas Witherell, DC 974 Old Dixie Hwy, Homestead, FL 33030-4933 Ph: (305) 247-7300 |
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