| Primero Spine And Joint Llc | |
|
13241 Bartram Park Blvd Unit 2501, Jacksonville, FL 32258-5218 | |
| (561) 843-7654 | |
| Not Available |
| Full Name | Primero Spine And Joint Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13241 Bartram Park Blvd Unit 2501, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205342177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH12201 (Florida) | Primary |
| Provider Name | Gabriel Busquets |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073905782 PECOS PAC ID: 6800116278 Enrollment ID: I20190415001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Primero Spine And Joint Llc 1544 W Windy Willow Dr, St Augustine, FL 32092-5098 Ph: () - | Primero Spine And Joint Llc 13241 Bartram Park Blvd Unit 2501, Jacksonville, FL 32258-5218 Ph: (561) 843-7654 |
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