Garrett S Bode Dc Pa | |
13694 W Hillsborough Ave, Tampa, FL 33635-9638 | |
(813) 891-1600 | |
(813) 891-1660 |
Full Name | Garrett S Bode Dc Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 13694 W Hillsborough Ave, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740442623 | NPI | - | NPPES |
381566800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Garrett S Bode |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1760406409 PECOS PAC ID: 4789758111 Enrollment ID: I20080804000331 |
Mailing Address | Practice Location Address |
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Garrett S Bode Dc Pa 13694 W Hillsborough Ave, Tampa, FL 33635-9638 Ph: (813) 891-1600 | Garrett S Bode Dc Pa 13694 W Hillsborough Ave, Tampa, FL 33635-9638 Ph: (813) 891-1600 |
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