Dr Ilya Spivak, DC | |
17560 Nw 27th Ave Ste 117, Miami Gardens, FL 33056-4075 | |
(305) 623-5939 | |
Not Available |
Full Name | Dr Ilya Spivak |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 17560 Nw 27th Ave Ste 117, Miami Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013488774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH12573 (Florida) | Primary |
Provider Name | Professional Wellness Associates Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894660 PECOS PAC ID: 4284023979 Enrollment ID: O20211118001905 |
Mailing Address | Practice Location Address |
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Dr Ilya Spivak, DC 1580 Shoreline Way, Hollywood, FL 33019-5010 Ph: (954) 589-8374 | Dr Ilya Spivak, DC 17560 Nw 27th Ave Ste 117, Miami Gardens, FL 33056-4075 Ph: (305) 623-5939 |
Carlos Antonio Pena, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19273 Nw 27th Ave Apt 3412, Miami Gardens, FL 33056 Phone: 404-984-8465 | |
Dr. Emmanuel O Junard, D.C, N.MD Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18921 Nw 2nd Ave, Suite B, Miami Gardens, FL 33169 Phone: 305-770-0607 Fax: 305-770-0607 | |
Therapractic Services Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4670 Nw 183rd St, Miami Gardens, FL 33055 Phone: 786-520-3515 Fax: 786-551-2275 | |
Central Florida Adult Medicine Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 838 Nw 183rd St Ste 201, Miami Gardens, FL 33169 Phone: 305-760-2289 Fax: 305-952-3905 | |
Dr. J'quyra Dione Moncur-blue, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3421 Nw 188th St, Miami Gardens, FL 33056 Phone: 305-528-2673 | |
Dr. Lawrence Howard Klosky, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18441 N.w 2nd Ave., Suite # 220, Miami Gardens, FL 33169 Phone: 305-652-8401 Fax: 305-652-8413 |