| Rise Chiropractic And Acupuncture Llc | |
|
14815 Mandarin Rd Ste 103, Jacksonville, FL 32223-2626 | |
| (937) 623-1906 | |
| Not Available |
| Full Name | Rise Chiropractic And Acupuncture Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 14815 Mandarin Rd Ste 103, 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 |
|---|---|---|---|
| 1104305846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH12491 (Florida) | Primary |
| Provider Name | David J Klosterman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174577282 PECOS PAC ID: 7113820259 Enrollment ID: I20181116001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Chiropractic And Acupuncture Llc 14815 Mandarin Rd Ste 103, Jacksonville, FL 32223-2626 Ph: (904) 512-7449 | Rise Chiropractic And Acupuncture Llc 14815 Mandarin Rd Ste 103, Jacksonville, FL 32223-2626 Ph: (937) 623-1906 |
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Gianpaolo Antonino Passeggiata, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256 Phone: 904-634-0640 Fax: 904-634-0203 | |
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