Richard R. Shaker Dc, Pa | |
3314 Henderson Blvd Ste 203, Tampa, FL 33609-2934 | |
(813) 876-9552 | |
(813) 877-1558 |
Full Name | Richard R. Shaker Dc, Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 3314 Henderson Blvd Ste 203, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215713102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Richard Robert Shaker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1417931163 PECOS PAC ID: 3779025655 Enrollment ID: I20240606002793 |
Mailing Address | Practice Location Address |
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Richard R. Shaker Dc, Pa 3314 Henderson Blvd Ste 203, Tampa, FL 33609-2934 Ph: (813) 876-9552 | Richard R. Shaker Dc, Pa 3314 Henderson Blvd Ste 203, Tampa, FL 33609-2934 Ph: (813) 876-9552 |
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