| |
10251 W Sample Road, Coral Springs, FL 33065 | |
(954) 575-4045 | |
(954) 575-5983 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 10251 W Sample Road, Coral Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831428366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | CH3178 (Florida) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Provider Name | David B Bass |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003026485 PECOS PAC ID: 9739214792 Enrollment ID: I20100316000299 |
Mailing Address | Practice Location Address |
---|---|
10251 W Sample Road, Coral Springs, FL 33065 Ph: (954) 575-4045 | 10251 W Sample Road, Coral Springs, FL 33065 Ph: (954) 575-4045 |