| Spine Of Life Upper Cervical Chiropractic | |
|
2225 A1a S Ste A1, St Augustine, FL 32080-6374 | |
| (732) 740-0007 | |
| Not Available |
| Full Name | Spine Of Life Upper Cervical Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2225 A1a S Ste A1, 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 |
|---|---|---|---|
| 1700666047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kevin Pecca |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356889133 PECOS PAC ID: 3476837725 Enrollment ID: I20231017002584 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Of Life Upper Cervical Chiropractic 2225 A1a S Ste A1, St Augustine, FL 32080-6374 Ph: (732) 740-0007 | Spine Of Life Upper Cervical Chiropractic 2225 A1a S Ste A1, St Augustine, FL 32080-6374 Ph: (732) 740-0007 |
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