| Fresh Start Health, Llc | |
|
425 W Town Pl Ste 104, St Augustine, FL 32092-3662 | |
| (904) 217-7277 | |
| (904) 217-4668 |
| Full Name | Fresh Start Health, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 425 W Town Pl Ste 104, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982357257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Foster Cullum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265444210 PECOS PAC ID: 4981670544 Enrollment ID: I20080102000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Health, Llc 425 W Town Pl Ste 104, St Augustine, FL 32092-3662 Ph: (904) 217-7277 | Fresh Start Health, Llc 425 W Town Pl Ste 104, St Augustine, FL 32092-3662 Ph: (904) 217-7277 |
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