Sage Chiropractic Wellness Center Llc | |
69 S Dixie Hwy, Suite C1, St Augustine, FL 32084-4186 | |
(904) 829-3348 | |
(904) 829-3348 |
Full Name | Sage Chiropractic Wellness Center Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 69 S Dixie Hwy, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902265705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH006632 (Florida) | Primary |
Provider Name | Janice Kala Sage |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861588600 PECOS PAC ID: 3779648647 Enrollment ID: I20090210000683 |
Mailing Address | Practice Location Address |
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Sage Chiropractic Wellness Center Llc 69 S Dixie Hwy, Suite C1, St Augustine, FL 32084-4186 Ph: (904) 829-3348 | Sage Chiropractic Wellness Center Llc 69 S Dixie Hwy, Suite C1, St Augustine, FL 32084-4186 Ph: (904) 829-3348 |
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