| Tyre Chiropractic Llc | |
|
87001 Professional Way, Yulee, FL 32097-3400 | |
| (904) 849-7878 | |
| Not Available |
| Full Name | Tyre Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 87001 Professional Way, Yulee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811377344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH11344 (Florida) | Primary |
| Provider Name | Keith Tyre |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750574661 PECOS PAC ID: 0648344663 Enrollment ID: I20150724012547 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyre Chiropractic Llc 87001 Professional Way, Yulee, FL 32097-3400 Ph: (904) 849-7878 | Tyre Chiropractic Llc 87001 Professional Way, Yulee, FL 32097-3400 Ph: (904) 849-7878 |
Jeremy Ford, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463646 State Road 200 Ste 7, Yulee, FL 32097 Phone: 904-849-1089 | |
Fernandina Chiropractic Center, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 464073 State Road 200, Suite 4, Yulee, FL 32097 Phone: 904-491-1345 Fax: 904-491-1346 | |
Samantha Quintero, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463374 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 | |
Summer Hopkins, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463646 State Road 200 Ste 7, Yulee, FL 32097 Phone: 443-603-8496 | |
Dr. Bruce Steven Glickman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 464073 Sr 200, Suite 4, Yulee, FL 32097 Phone: 904-491-1345 Fax: 904-491-1346 | |
Eric Stepnowski, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 463392 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 | |
Joshua Jordan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463392 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 |