| Deprey Chiropractic Pa | |
|
2180 Aia So, Ste 100, St Augustine, FL 32080-6523 | |
| (904) 471-2225 | |
| (904) 471-6236 |
| Full Name | Deprey Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2180 Aia So, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174592851 | NPI | - | NPPES |
| 22575 | Other | BCBS | |
| 350037467 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH0006235 (Florida) | Primary |
| Provider Name | Allen M Deprey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174701783 PECOS PAC ID: 2062590607 Enrollment ID: I20080422000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Deprey Chiropractic Pa 2180 Aia So, Ste 100, St Augustine, FL 32080-6523 Ph: (904) 471-2225 | Deprey Chiropractic Pa 2180 Aia So, Ste 100, St Augustine, FL 32080-6523 Ph: (904) 471-2225 |
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