| Village Chiropractic Center Of | |
|
425 W Town Pl, Ste. 118, Saint Augustine, FL 32092-3661 | |
| (904) 940-0361 | |
| (904) 940-0364 |
| Full Name | Village Chiropractic Center Of |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 425 W Town Pl, Saint 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 |
|---|---|---|---|
| 1407042781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH9346 (Florida) | Primary |
| Provider Name | Kenneth L Berry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841494077 PECOS PAC ID: 9234229378 Enrollment ID: I20071213000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Village Chiropractic Center Of 425 W Town Pl, Ste. 118, Saint Augustine, FL 32092-3661 Ph: (904) 940-0361 | Village Chiropractic Center Of 425 W Town Pl, Ste. 118, Saint Augustine, FL 32092-3661 Ph: (904) 940-0361 |
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Dr. Melinda Tolitsky, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 309 Kingsley Lake Dr, Suite 904, Saint Augustine, FL 32092 Phone: 904-547-2435 Fax: 904-547-2419 | |
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