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445 State Road 13 Ste 9, Fruit Cove, FL 32259-2822 | |
(904) 429-7490 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 445 State Road 13 Ste 9, Fruit Cove, 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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1144937756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
111NP0017X | Chiropractor - Pediatric Chiropractor | (* (Not Available)) | Secondary |
Provider Name | Michaele E Bailey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285142190 PECOS PAC ID: 1052675733 Enrollment ID: I20230125002042 |
Mailing Address | Practice Location Address |
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445 State Road 13 Ste 9, Fruit Cove, FL 32259-2822 Ph: (904) 429-7490 | 445 State Road 13 Ste 9, Fruit Cove, FL 32259-2822 Ph: (904) 429-7490 |
Dr. Michaele Bailey Suarez, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 445 State Road 13 Ste 9, Fruit Cove, FL 32259 Phone: 904-429-7490 |