Dr Colby Deem Caltrider, DC | |
309 Kingsley Lake Dr Ste 901, St Augustine, FL 32092-3048 | |
(904) 999-8343 | |
(904) 325-9049 |
Full Name | Dr Colby Deem Caltrider |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 309 Kingsley Lake Dr Ste 901, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588046262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH11232 (Florida) | Secondary |
111N00000X | Chiropractor | CH 11232 (Florida) | Primary |
Provider Name | Donald B Campbell Dc Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265624506 PECOS PAC ID: 2264506112 Enrollment ID: O20080811000504 |
Provider Name | Integrative Healthcare Solutions, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427383215 PECOS PAC ID: 7810032943 Enrollment ID: O20100301000691 |
Mailing Address | Practice Location Address |
---|---|
Dr Colby Deem Caltrider, DC 1639 Southside Blvd, Jacksonville, FL 32216-1923 Ph: (904) 725-2286 | Dr Colby Deem Caltrider, DC 309 Kingsley Lake Dr Ste 901, St Augustine, FL 32092-3048 Ph: (904) 999-8343 |
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