Sovereignty Chiropractic Inc | |
2626 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6315 | |
(813) 560-5323 | |
(813) 863-1911 |
Full Name | Sovereignty Chiropractic Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2626 Cypress Ridge Blvd, Wesley Chapel, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972284990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Scott Carlton Councilman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245730605 PECOS PAC ID: 1052667847 Enrollment ID: I20230920000249 |
Mailing Address | Practice Location Address |
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Sovereignty Chiropractic Inc 8220 Pelican Reed Cir, Wesley Chapel, FL 33545-5158 Ph: (919) 356-5680 | Sovereignty Chiropractic Inc 2626 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6315 Ph: (813) 560-5323 |
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