| Chiropractic Life Center | |
|
400 Barton Blvd, Suite 201, Rockledge, FL 32955-2706 | |
| (321) 633-1400 | |
| (321) 637-7057 |
| Full Name | Chiropractic Life Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 400 Barton Blvd, Rockledge, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073773388 | NPI | - | NPPES |
| 55880 | Medicaid | FL | |
| 5954350001 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH7721 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Life Center 400 Barton Blvd, Suite 201, Rockledge, FL 32955-2706 Ph: (321) 633-1400 | Chiropractic Life Center 400 Barton Blvd, Suite 201, Rockledge, FL 32955-2706 Ph: (321) 633-1400 |
Dr. Richard C Clarke, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1019 Harvin Way, Suite 100, Rockledge, FL 32955 Phone: 321-848-0987 | |
Dr. William Gordon Davis Sr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 760 Barnes Blvd Ste 101-102, Rockledge, FL 32955 Phone: 321-735-8102 | |
Richard G Berthiaume, B.S.,D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1197 Us Highway 1, Rockledge, FL 32955 Phone: 321-504-3737 Fax: 321-504-4454 | |
Mr. Matthew Norman Boucher, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3826 Murrell Rd, Rockledge, FL 32955 Phone: 321-631-1100 Fax: 321-637-1030 | |
Dr. Patricia Sue Wesley, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1014 Florida Ave S, Rockledge, FL 32955 Phone: 321-631-2225 Fax: 321-631-2981 | |
James Mcintire, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 839 Barton Blvd, Rockledge, FL 32955 Phone: 321-636-5200 |