Dr Gabrielle Shaw Hardman, DC | |
155 Fountains Way Ste 6, St Johns, FL 32259-1144 | |
(904) 342-5455 | |
Not Available |
Full Name | Dr Gabrielle Shaw Hardman |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 5 Years |
Location | 155 Fountains Way Ste 6, St Johns, Florida |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770146318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH12788 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Center Llc | 2466849682 | 2 |
Provider Name | Endeavor Health Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356981955 PECOS PAC ID: 2466849682 Enrollment ID: O20220418001635 |
Mailing Address | Practice Location Address |
---|---|
Dr Gabrielle Shaw Hardman, DC 155 Fountains Way Ste 6, St Johns, FL 32259-1144 Ph: (904) 342-5455 | Dr Gabrielle Shaw Hardman, DC 155 Fountains Way Ste 6, St Johns, FL 32259-1144 Ph: (904) 342-5455 |
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