| Kendall Chiropractor | |
|
9560 Sw 107th Ave Ste 105, Miami, FL 33176-2790 | |
| (305) 505-3449 | |
| Not Available |
| Full Name | Kendall Chiropractor |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9560 Sw 107th Ave Ste 105, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073970513 | NPI | - | NPPES |
| 004802100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH9593 (Florida) | Primary |
| Provider Name | Jason F Alvarez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851551451 PECOS PAC ID: 7113068552 Enrollment ID: I20100107000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Chiropractor 9560 Sw 107th Ave Ste 105, Miami, FL 33176-2790 Ph: (305) 505-3449 | Kendall Chiropractor 9560 Sw 107th Ave Ste 105, Miami, FL 33176-2790 Ph: (305) 505-3449 |
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