Jacosta Pa | |
1365 S Military Trl, Deerfield Beach, FL 33442-7634 | |
(954) 571-8100 | |
Not Available |
Full Name | Jacosta Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 1365 S Military Trl, Deerfield Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376261628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Constantine Gus Tsiapalis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265188312 PECOS PAC ID: 8628453180 Enrollment ID: I20220920000385 |
Provider Name | Jacqueline Tsiapalis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912626391 PECOS PAC ID: 7719362276 Enrollment ID: I20220920000523 |
Mailing Address | Practice Location Address |
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Jacosta Pa 1365 S Military Trl, Deerfield Beach, FL 33442-7634 Ph: (954) 571-8100 | Jacosta Pa 1365 S Military Trl, Deerfield Beach, FL 33442-7634 Ph: (954) 571-8100 |
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