| Mount Dora Family Chiropractic | |
|
2255 Crescent Dr, Mount Dora, FL 32757-4708 | |
| (352) 720-3672 | |
| Not Available |
| Full Name | Mount Dora Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2255 Crescent Dr, Mount Dora, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487242137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Todd Werner Gignac |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548322944 PECOS PAC ID: 4587079371 Enrollment ID: I20210208002275 |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Dora Family Chiropractic 2255 Crescent Dr, Mount Dora, FL 32757-4708 Ph: () - | Mount Dora Family Chiropractic 2255 Crescent Dr, Mount Dora, FL 32757-4708 Ph: (352) 720-3672 |
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