Endeavor Health Center | |
155 Fountains Way Ste 6, Saint Johns, FL 32259-1144 | |
(904) 342-5455 | |
Not Available |
Full Name | Endeavor Health Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 155 Fountains Way Ste 6, Saint Johns, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1356981955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Robert Trevor Hardman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174085559 PECOS PAC ID: 3577804848 Enrollment ID: I20190415001376 |
Provider Name | Gabrielle Shaw Hardman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770146318 PECOS PAC ID: 4385972942 Enrollment ID: I20190821002103 |
Mailing Address | Practice Location Address |
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Endeavor Health Center 155 Fountains Way Ste 6, Saint Johns, FL 32259-1144 Ph: (904) 342-5455 | Endeavor Health Center 155 Fountains Way Ste 6, Saint Johns, FL 32259-1144 Ph: (904) 342-5455 |
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Dr. Gregory Tonnesen, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2050 Saint Johns Pkwy Ste 107, Saint Johns, FL 32259 Phone: 704-310-1985 |