Christopher Mcrae Maxson Jr, | |
3831 Tyrone Blvd N Ste 101, St Petersburg, FL 33709-4114 | |
(847) 528-1134 | |
Not Available |
Full Name | Christopher Mcrae Maxson Jr |
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Gender | Male |
Speciality | Chiropractor |
Location | 3831 Tyrone Blvd N Ste 101, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326744749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH13764 (Florida) | Primary |
Provider Name | Restoration Family Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285330605 PECOS PAC ID: 5991162034 Enrollment ID: O20230606001797 |
Mailing Address | Practice Location Address |
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Christopher Mcrae Maxson Jr, 3831 Tyrone Blvd N Ste 101, St Petersburg, FL 33709-4114 Ph: (727) 440-2770 | Christopher Mcrae Maxson Jr, 3831 Tyrone Blvd N Ste 101, St Petersburg, FL 33709-4114 Ph: (847) 528-1134 |
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