| Dr Matthew David Salas Geronimo, DC | |
|
6735 Conroy Rd Ste 211, Orlando, FL 32835-3571 | |
| (407) 723-8142 | |
| Not Available |
| Full Name | Dr Matthew David Salas Geronimo |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 6735 Conroy Rd Ste 211, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154037109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14371 (Florida) | Primary |
| Provider Name | Dr Gampolo Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962904201 PECOS PAC ID: 3577898527 Enrollment ID: O20190712000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew David Salas Geronimo, DC 6563 Rosecliff Dr Apt 100, Orlando, FL 32835-2928 Ph: (407) 982-0845 | Dr Matthew David Salas Geronimo, DC 6735 Conroy Rd Ste 211, Orlando, FL 32835-3571 Ph: (407) 723-8142 |
Dr. Andrew D Sutherland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5179 S John Young Parkway, Orlando, FL 32839 Phone: 407-242-5972 Fax: 407-816-9569 | |
Pine Castle Chiropractic Center, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 707 E Oak Ridge Rd., Orlando, FL 32809 Phone: 407-855-7199 Fax: 407-855-7237 | |
South Orlando Family Practice & Medical Injury Center Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4401 S Orange Ave, #116, Orlando, FL 32806 Phone: 407-850-2593 Fax: 407-850-9645 | |
Dr. Cleberton Sousa Bastos, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7121 Grand National Dr Ste 102, Orlando, FL 32819 Phone: 407-308-8878 | |
Johan Collazo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12301 Lake Underhill Rd # 254, Orlando, FL 32828 Phone: 407-270-6601 | |
Dr. Elizabeth De La Caridad Rivera, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6005 Mausser Dr Apt 2e, Orlando, FL 32822 Phone: 386-235-6822 | |
Luis Omar Lopez-rodriguez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2206 E Colonial Dr, Orlando, FL 32803 Phone: 407-839-1045 |