Jonathan Craig Wise, DC | |
17941 Us Highway 441, Mount Dora, FL 32757-6717 | |
(352) 516-6820 | |
Not Available |
Full Name | Jonathan Craig Wise |
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Gender | Male |
Speciality | Chiropractic |
Experience | 16 Years |
Location | 17941 Us Highway 441, Mount Dora, 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 |
---|---|---|---|
1942446497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9678 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wise Chiropractic Pa | 1052579174 | 2 |
Provider Name | Wise Chiropractic Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477876472 PECOS PAC ID: 1052579174 Enrollment ID: O20120221000756 |
Mailing Address | Practice Location Address |
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Jonathan Craig Wise, DC 17941 Us Highway 441, Mount Dora, FL 32757-6717 Ph: (352) 516-6820 | Jonathan Craig Wise, DC 17941 Us Highway 441, Mount Dora, FL 32757-6717 Ph: (352) 516-6820 |
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