Icare Chiropractic, P.a. | |
5226 W Flagler St, Coral Gables, FL 33134-1168 | |
(305) 240-3564 | |
Not Available |
Full Name | Icare Chiropractic, P.a. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 5226 W Flagler St, Coral Gables, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598272916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH10347 (Florida) | Primary |
111NS0005X | Chiropractor - Sports Physician | CH10347 (Florida) | Secondary |
Provider Name | Anthony Joel Rodriguez |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710147251 PECOS PAC ID: 8729342191 Enrollment ID: I20180511000104 |
Mailing Address | Practice Location Address |
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Icare Chiropractic, P.a. 5226 W Flagler St, Coral Gables, FL 33134-1168 Ph: (305) 240-3564 | Icare Chiropractic, P.a. 5226 W Flagler St, Coral Gables, FL 33134-1168 Ph: (305) 240-3564 |
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