Thistle Family Chiropractic Llc | |
4021 N Armenia Ave Ste 103, Tampa, FL 33607-1010 | |
(573) 231-9237 | |
Not Available |
Full Name | Thistle Family Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4021 N Armenia Ave Ste 103, Tampa, 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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1710629563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jordan R Matthew |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649772955 PECOS PAC ID: 6709141526 Enrollment ID: I20180529001929 |
Mailing Address | Practice Location Address |
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Thistle Family Chiropractic Llc 6301 S West Shore Blvd Apt 203, Tampa, FL 33616-1335 Ph: (573) 231-9237 | Thistle Family Chiropractic Llc 4021 N Armenia Ave Ste 103, Tampa, FL 33607-1010 Ph: (573) 231-9237 |
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