Randolph C Harding Dc Pa | |
2326 Us Highway 19, Holiday, FL 34691-3939 | |
(727) 937-4191 | |
(727) 942-4331 |
Full Name | Randolph C Harding Dc Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2326 Us Highway 19, Holiday, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275529695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH0001456 (Florida) | Primary |
Provider Name | Michael V Shontz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831184217 PECOS PAC ID: 8426011594 Enrollment ID: I20041109001086 |
Mailing Address | Practice Location Address |
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Randolph C Harding Dc Pa 2326 Us Highway 19, Holiday, FL 34691-3939 Ph: (727) 937-4191 | Randolph C Harding Dc Pa 2326 Us Highway 19, Holiday, FL 34691-3939 Ph: (727) 937-4191 |
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