Dr Austin Glennon, DC, BS | |
730 Beach Blvd, Ste 101, Jacksonville Beach, FL 32250-5352 | |
(407) 647-2009 | |
Not Available |
Full Name | Dr Austin Glennon |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 13 Years |
Location | 730 Beach Blvd, Jacksonville Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245585645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH 10704 (Florida) | Primary |
Provider Name | Davenport Chiropractic, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922263052 PECOS PAC ID: 9537174438 Enrollment ID: O20060214000532 |
Mailing Address | Practice Location Address |
---|---|
Dr Austin Glennon, DC, BS 730 Beach Blvd, Ste 101, Jacksonville Beach, FL 32250-5352 Ph: (407) 647-2009 | Dr Austin Glennon, DC, BS 730 Beach Blvd, Ste 101, Jacksonville Beach, FL 32250-5352 Ph: (407) 647-2009 |
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