| Conner Buckles, DC | |
|
6320 Saint Augustine Rd Ste 10, Jacksonville, FL 32217-2813 | |
| (904) 320-0807 | |
| Not Available |
| Full Name | Conner Buckles |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 6320 Saint Augustine Rd Ste 10, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235869520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH13871 (Florida) | Primary |
| Provider Name | Thrive Chiropractic Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437660891 PECOS PAC ID: 7517225824 Enrollment ID: O20171214001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Conner Buckles, DC 8450 Gate Pkwy W Unit 1404, Jacksonville, FL 32216-1072 Ph: () - | Conner Buckles, DC 6320 Saint Augustine Rd Ste 10, Jacksonville, FL 32217-2813 Ph: (904) 320-0807 |
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