| Venice Village Chiropractic Clinic Pa | |
|
4140 Woodmere Park Blvd, Ste 2, Venice, FL 34293-2205 | |
| (941) 497-7424 | |
| (941) 493-8413 |
| Full Name | Venice Village Chiropractic Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4140 Woodmere Park Blvd, Venice, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033302492 | NPI | - | NPPES |
| 38112550 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH7387 (Florida) | Primary |
| Provider Name | Gary E Bolen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467568816 PECOS PAC ID: 9739278474 Enrollment ID: I20071204000462 |
| Provider Name | Tyler A Moyer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609529056 PECOS PAC ID: 3870959232 Enrollment ID: I20230510001460 |
| Mailing Address | Practice Location Address |
|---|---|
| Venice Village Chiropractic Clinic Pa 4140 Woodmere Park Blvd, Ste 2, Venice, FL 34293-2205 Ph: (941) 497-7424 | Venice Village Chiropractic Clinic Pa 4140 Woodmere Park Blvd, Ste 2, Venice, FL 34293-2205 Ph: (941) 497-7424 |
Dr. Sean A Higgins, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 209 Nassau St S Ste 102, Venice, FL 34285 Phone: 941-484-4448 Fax: 941-460-9170 | |
Theriault Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1846 S Tamiami Trl Ste 1, Venice, FL 34293 Phone: 941-497-7005 Fax: 341-493-6905 | |
Dr. Adam Lee Agran, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1986 Tamiami Trl S, Venice, FL 34293 Phone: 941-408-8100 Fax: 941-408-8136 | |
Venice Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 617 South Tamiami Trail, Venice, FL 34285 Phone: 941-488-6308 Fax: 941-480-1828 | |
Lyle William Grenz, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1700 E Venice Ave, Venice, FL 34292 Phone: 941-483-9789 Fax: 941-483-9774 | |
Arthur G. Raggio, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1435 E. Venice Ave, Suite 107, Venice, FL 34292 Phone: 941-488-5077 Fax: 941-488-8896 |