Landon Burt, DC | |
10930 Sheldon Rd, Tampa, FL 33626-4701 | |
(603) 312-2218 | |
Not Available |
Full Name | Landon Burt |
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Gender | Male |
Speciality | Chiropractor |
Location | 10930 Sheldon Rd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578342085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH14036 (Florida) | Primary |
Provider Name | Sheldon Road Chiropractic, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053591248 PECOS PAC ID: 1153581574 Enrollment ID: O20120322000186 |
Mailing Address | Practice Location Address |
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Landon Burt, DC 10930 Sheldon Rd, Tampa, FL 33626-4701 Ph: (603) 312-2218 | Landon Burt, DC 10930 Sheldon Rd, Tampa, FL 33626-4701 Ph: (603) 312-2218 |
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