Mayredlis Cruz Martir, DC | |
148 Split Oak Rd, St Augustine, FL 32092-5444 | |
(254) 220-1078 | |
Not Available |
Full Name | Mayredlis Cruz Martir |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 8 Years |
Location | 148 Split Oak Rd, St Augustine, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245779818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH12101 (Florida) | Primary |
Provider Name | Lighthouse Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730629528 PECOS PAC ID: 6002166675 Enrollment ID: O20180830003299 |
Mailing Address | Practice Location Address |
---|---|
Mayredlis Cruz Martir, DC 145 Hilden Rd, Ste 123, Ponte Vedra, FL 32081-8401 Ph: (254) 220-1078 | Mayredlis Cruz Martir, DC 148 Split Oak Rd, St Augustine, FL 32092-5444 Ph: (254) 220-1078 |
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