| Integrity Sport And Spine Llc | |
|
2445 Country Place Blvd Ste 103, New Port Richey, FL 34655-1102 | |
| (727) 372-9500 | |
| Not Available |
| Full Name | Integrity Sport And Spine Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2445 Country Place Blvd Ste 103, New Port Richey, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386424059 | NPI | - | NPPES |
| 1962042093 | Other | FL | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Amber Kollen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962042093 PECOS PAC ID: 7719313220 Enrollment ID: I20200131001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Sport And Spine Llc 2445 Country Place Blvd Ste 103, New Port Richey, FL 34655-1102 Ph: (727) 264-6091 | Integrity Sport And Spine Llc 2445 Country Place Blvd Ste 103, New Port Richey, FL 34655-1102 Ph: (727) 372-9500 |
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