| Chiropractic Health Clinic Of Brevard Pa | |
|
110 N Tropical Trl, Merritt Island, FL 32953-4737 | |
| (321) 459-9400 | |
| Not Available |
| Full Name | Chiropractic Health Clinic Of Brevard Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 110 N Tropical Trl, Merritt Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992995757 | NPI | - | NPPES |
| K5848 | Other | FL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH 8328 FL (Florida) | Primary |
| Provider Name | Paul V Grimm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639215007 PECOS PAC ID: 9032198676 Enrollment ID: I20040719000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Health Clinic Of Brevard Pa 110 N Tropical Trl, Merritt Island, FL 32953-4737 Ph: () - | Chiropractic Health Clinic Of Brevard Pa 110 N Tropical Trl, Merritt Island, FL 32953-4737 Ph: (321) 459-9400 |
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