| Havlicek Chiropractic Inc | |
|
2085 A1a S Ste 103, St Augustine, FL 32080-6505 | |
| (904) 522-2515 | |
| (904) 515-2235 |
| Full Name | Havlicek Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2085 A1a S Ste 103, 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 |
|---|---|---|---|
| 1720497340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Bradley M Havlicek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245632017 PECOS PAC ID: 9830319748 Enrollment ID: I20140926001977 |
| Provider Name | Luis Jesus Rodriguez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477188191 PECOS PAC ID: 9234560749 Enrollment ID: I20200518002113 |
| Provider Name | Victoria Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114518172 PECOS PAC ID: 3870990658 Enrollment ID: I20210921002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Havlicek Chiropractic Inc 2085 A1a S Ste 103, St Augustine, FL 32080-6505 Ph: (904) 515-2225 | Havlicek Chiropractic Inc 2085 A1a S Ste 103, St Augustine, FL 32080-6505 Ph: (904) 522-2515 |
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Dr. Philip Gregory Rodger, D.C., B.S. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 317 Vicki Towers Dr, St Augustine, FL 32092 Phone: 904-428-0766 | |
Spinal Solutions Health And Wellness Chiropractor Medicare: Medicare Enrolled Practice Location: 276 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 570-778-0083 | |
Danita Thomas Heagy, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4425 Us 1 South, Danita Thomas Heagy Dc Llc Suite 109, St Augustine, FL 32086 Phone: 904-797-5100 Fax: 904-797-5033 | |
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