Jose A Patino, DC | |
3275 W Hillsboro Blvd Ste 210, Deerfield Beach, FL 33442-9476 | |
(954) 825-8490 | |
Not Available |
Full Name | Jose A Patino |
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Gender | Male |
Speciality | Chiropractor |
Location | 3275 W Hillsboro Blvd Ste 210, Deerfield Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720399579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH 10029 (Florida) | Primary |
Provider Name | Royal Palm Beach Rehab, Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861724783 PECOS PAC ID: 3476683335 Enrollment ID: O20100621000030 |
Mailing Address | Practice Location Address |
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Jose A Patino, DC 9407 Nw 74th Pl, Tamarac, FL 33321-2312 Ph: (954) 825-8490 | Jose A Patino, DC 3275 W Hillsboro Blvd Ste 210, Deerfield Beach, FL 33442-9476 Ph: (954) 825-8490 |
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