Gianpaolo Antonino Passeggiata, DC | |
10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | |
(904) 634-0640 | |
(904) 634-0203 |
Full Name | Gianpaolo Antonino Passeggiata |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 4 Years |
Location | 10475 Centurion Pkwy N Ste 220, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003403288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH13299 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Orthopedic Specialists Llc | 1456246974 | 116 |
Provider Name | Southeast Orthopedic Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
Mailing Address | Practice Location Address |
---|---|
Gianpaolo Antonino Passeggiata, DC 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Gianpaolo Antonino Passeggiata, DC 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 Ph: (904) 634-0640 |
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