Lake Mary Chiropractic Center Pa | |
3240 W Lake Mary Blvd, Ste. 1300, Lake Mary, FL 32746-3583 | |
(407) 302-5161 | |
Not Available |
Full Name | Lake Mary Chiropractic Center Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 3240 W Lake Mary Blvd, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376729525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH7869 (Florida) | Primary |
Provider Name | Paul M Toma |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1760518419 PECOS PAC ID: 7315915923 Enrollment ID: I20040921001362 |
Provider Name | Samantha R Wunder |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922559889 PECOS PAC ID: 3375827660 Enrollment ID: I20170306001355 |
Mailing Address | Practice Location Address |
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Lake Mary Chiropractic Center Pa 3240 W Lake Mary Blvd, Ste. 1300, Lake Mary, FL 32746-3583 Ph: (407) 302-5161 | Lake Mary Chiropractic Center Pa 3240 W Lake Mary Blvd, Ste. 1300, Lake Mary, FL 32746-3583 Ph: (407) 302-5161 |
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