Dr Mark William Pegan, DC | |
365 Waymont Ct, Suite 101, Lake Mary, FL 32746-3552 | |
(407) 321-9191 | |
Not Available |
Full Name | Dr Mark William Pegan |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 16 Years |
Location | 365 Waymont Ct, Lake Mary, 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 |
---|---|---|---|
1700031960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH9620 (Florida) | Primary |
Provider Name | Heathrow Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083918023 PECOS PAC ID: 9032393947 Enrollment ID: O20110418000278 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark William Pegan, DC 1246 Glencrest Dr, Heathrow, FL 32746-5024 Ph: (407) 595-7191 | Dr Mark William Pegan, DC 365 Waymont Ct, Suite 101, Lake Mary, FL 32746-3552 Ph: (407) 321-9191 |
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