Dr Eugene Ming Su, DC, MAOM | |
5901 Sw 74th St, #220, Miami, FL 33143-5165 | |
(855) 692-9362 | |
(703) 723-6647 |
Full Name | Dr Eugene Ming Su |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 20 Years |
Location | 5901 Sw 74th St, Miami, 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 |
---|---|---|---|
1942211347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 004126442205 (Virginia) | Secondary |
111N00000X | Chiropractor | 10465 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beyond Wellness Llc | 1557408119 | 3 |
Provider Name | Beyond Wellness Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265598668 PECOS PAC ID: 1557408119 Enrollment ID: O20091030000237 |
Mailing Address | Practice Location Address |
---|---|
Dr Eugene Ming Su, DC, MAOM 44330 Premier Plz, #110, Ashburn, VA 20147-5070 Ph: (703) 723-9355 | Dr Eugene Ming Su, DC, MAOM 5901 Sw 74th St, #220, Miami, FL 33143-5165 Ph: (855) 692-9362 |
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