| Spinal Solutions Health And Wellness | |
|
276 Paseo Reyes Dr, St Augustine, FL 32095-8462 | |
| (570) 778-0083 | |
| Not Available |
| Full Name | Spinal Solutions Health And Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 276 Paseo Reyes Dr, 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 |
|---|---|---|---|
| 1083297915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Derek J Sisak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699272153 PECOS PAC ID: 8729481429 Enrollment ID: I20210719001801 |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Solutions Health And Wellness 200 Front Door Ln, St Augustine, FL 32095-8543 Ph: (570) 778-0083 | Spinal Solutions Health And Wellness 276 Paseo Reyes Dr, St Augustine, FL 32095-8462 Ph: (570) 778-0083 |
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