St. Augustine Spine Center | |
1750 Tree Blvd Ste 8, St Augustine, FL 32084-5719 | |
(904) 429-7750 | |
(904) 429-7664 |
Full Name | St. Augustine Spine Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 1750 Tree Blvd Ste 8, 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 |
---|---|---|---|
1457630063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH9751 (Florida) | Primary |
Provider Name | Tyler Darl Albrecht |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982937173 PECOS PAC ID: 9638341381 Enrollment ID: I20111003000048 |
Mailing Address | Practice Location Address |
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St. Augustine Spine Center 1750 Tree Blvd Ste 8, St Augustine, FL 32084-5719 Ph: (904) 429-7750 | St. Augustine Spine Center 1750 Tree Blvd Ste 8, St Augustine, FL 32084-5719 Ph: (904) 429-7750 |
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