| Fernandina Chiropractic Center | |
|
464073 East State Road 200, Yulee, FL 32034 | |
| (716) 704-9002 | |
| Not Available |
| Full Name | Fernandina Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 464073 East State Road 200, Yulee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770018467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH11597 (Florida) | Primary |
| Provider Name | Thomas P Beckerton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669856076 PECOS PAC ID: 1052620937 Enrollment ID: I20151015000369 |
| Provider Name | Gary C Trupo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942422126 PECOS PAC ID: 6406838291 Enrollment ID: I20191008000265 |
| Provider Name | Eric R Stepnowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447020888 PECOS PAC ID: 8123464724 Enrollment ID: I20240308000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernandina Chiropractic Center 463392 East State Road 200, Yulee, FL 32097 Ph: (716) 704-9002 | Fernandina Chiropractic Center 464073 East State Road 200, Yulee, FL 32034 Ph: (716) 704-9002 |
Jeremy Ford, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463646 State Road 200 Ste 7, Yulee, FL 32097 Phone: 904-849-1089 | |
Fernandina Chiropractic Center, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 464073 State Road 200, Suite 4, Yulee, FL 32097 Phone: 904-491-1345 Fax: 904-491-1346 | |
Samantha Quintero, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463374 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 | |
Summer Hopkins, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463646 State Road 200 Ste 7, Yulee, FL 32097 Phone: 443-603-8496 | |
Dr. Bruce Steven Glickman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 464073 Sr 200, Suite 4, Yulee, FL 32097 Phone: 904-491-1345 Fax: 904-491-1346 | |
Eric Stepnowski, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 463392 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 | |
Joshua Jordan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463392 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 |