| Damon Christopher Deweese, DC | |
|
1312 Dunn Ave, Jacksonville, FL 32218-4836 | |
| (904) 757-4786 | |
| (904) 757-4882 |
| Full Name | Damon Christopher Deweese |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1312 Dunn Ave, 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 |
|---|---|---|---|
| 1710956669 | NPI | - | NPPES |
| P00001614 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8089 (Florida) | Primary |
| Provider Name | D.c. Deweese, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972797579 PECOS PAC ID: 7911138359 Enrollment ID: O20140327001011 |
| Mailing Address | Practice Location Address |
|---|---|
| Damon Christopher Deweese, DC 1312 Dunn Ave, Jacksonville, FL 32218-4836 Ph: (904) 757-4786 | Damon Christopher Deweese, DC 1312 Dunn Ave, Jacksonville, FL 32218-4836 Ph: (904) 757-4786 |
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