Phase 1 Chiropractic | |
4331 Solutions Ln, Lakewood Ranch, FL 34211 | |
(941) 279-3500 | |
Not Available |
Full Name | Phase 1 Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 4331 Solutions Ln, Lakewood Ranch, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720710627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Bruce Lee |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306582366 PECOS PAC ID: 5395128680 Enrollment ID: I20220819000037 |
Mailing Address | Practice Location Address |
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Phase 1 Chiropractic 4331 Solutions Ln, Lakewood Ranch, FL 34211 Ph: (941) 279-3500 | Phase 1 Chiropractic 4331 Solutions Ln, Lakewood Ranch, FL 34211 Ph: (941) 279-3500 |
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