Old Kings Chiropractic Llc | |
99 Old Kings Rd S Ste 4, Flagler Beach, FL 32136-4356 | |
(386) 693-4095 | |
(866) 711-2736 |
Full Name | Old Kings Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 99 Old Kings Rd S Ste 4, Flagler Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881360642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Michael J Sambursky |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336603083 PECOS PAC ID: 4880925064 Enrollment ID: I20191021000621 |
Mailing Address | Practice Location Address |
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Old Kings Chiropractic Llc 99 Old Kings Rd S Ste 4, Flagler Beach, FL 32136-4356 Ph: (386) 693-4095 | Old Kings Chiropractic Llc 99 Old Kings Rd S Ste 4, Flagler Beach, FL 32136-4356 Ph: (386) 693-4095 |
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