Melissa L Gonzalez, | |
1330 Sw 160th Ave, Sunrise, FL 33326-1907 | |
(954) 384-3275 | |
Not Available |
Full Name | Melissa L Gonzalez |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1330 Sw 160th Ave, Sunrise, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699467621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NP0017X | Chiropractor - Pediatric Chiropractor | CH14543 (Florida) | Secondary |
111N00000X | Chiropractor | CH14543 (Florida) | Primary |
Provider Name | Live Well Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710273065 PECOS PAC ID: 0749459428 Enrollment ID: O20240304001026 |
Mailing Address | Practice Location Address |
---|---|
Melissa L Gonzalez, 1330 Sw 160th Ave, Sunrise, FL 33326-1907 Ph: () - | Melissa L Gonzalez, 1330 Sw 160th Ave, Sunrise, FL 33326-1907 Ph: (954) 384-3275 |
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