| The Source Chiropractic | |
|
2500 1st Ave N, St Petersburg, FL 33713-8702 | |
| (727) 329-6106 | |
| Not Available |
| Full Name | The Source Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2500 1st Ave N, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306418678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Dyllon Mawn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053066910 PECOS PAC ID: 1850775628 Enrollment ID: I20220826003124 |
| Provider Name | Brett Austin Richard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427742063 PECOS PAC ID: 1951750850 Enrollment ID: I20231216000398 |
| Provider Name | Yina Mariel Cuevas Quintana |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780339648 PECOS PAC ID: 4284084112 Enrollment ID: I20231219001017 |
| Provider Name | Drew Michael Denson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336836956 PECOS PAC ID: 2860842721 Enrollment ID: I20231219002170 |
| Provider Name | Evan Rudd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497534804 PECOS PAC ID: 8820440993 Enrollment ID: I20240115001254 |
| Mailing Address | Practice Location Address |
|---|---|
| The Source Chiropractic 5751 11th St S, St Petersburg, FL 33705-5021 Ph: () - | The Source Chiropractic 2500 1st Ave N, St Petersburg, FL 33713-8702 Ph: (727) 329-6106 |
Dr. Robert Court Bock, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3206 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 Phone: 727-828-0838 | |
Dr. David Bryan Preston Sr., D.C., ARNP Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3600 1st Ave N, St Petersburg, FL 33713 Phone: 727-327-4522 Fax: 727-327-8069 | |
Millennium Medical Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5088 66th St N, St Petersburg, FL 33709 Phone: 727-541-2675 Fax: 727-541-3956 | |
Dr. Sean M Woodward, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 10033 Dr Martin Luther King Jr St N, Suite 300, St Petersburg, FL 33716 Phone: 727-498-8898 Fax: 727-800-6959 | |
Diagnostic Imaging Consultants Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5136 Central Ave, St Petersburg, FL 33707 Phone: 727-579-2500 Fax: 727-579-3433 | |
Burke Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 6416 Dr Martin Luther King St N, St Petersburg, FL 33702 Phone: 727-686-4852 | |
Dr. Rhonda Hazel Schroeder, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3962 5th Ave N, St Petersburg, FL 33713 Phone: 727-327-1717 Fax: 727-322-9827 |