| Prime Impact Chiropractic, Inc | |
|
100 E Sybelia Ave Ste 217, Maitland, FL 32751-4757 | |
| (407) 887-6568 | |
| Not Available |
| Full Name | Prime Impact Chiropractic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 100 E Sybelia Ave Ste 217, Maitland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629778113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Uche Ukeagu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033599964 PECOS PAC ID: 3375966641 Enrollment ID: I20230524000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Impact Chiropractic, Inc 321 Misty Oaks Run, Casselberry, FL 32707-2817 Ph: (954) 415-5931 | Prime Impact Chiropractic, Inc 100 E Sybelia Ave Ste 217, Maitland, FL 32751-4757 Ph: (407) 887-6568 |
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