| Wave Chirorpactic, Llc | |
|
5233 4th Avenue Cir E, Bradenton, FL 34208-5622 | |
| (708) 769-0172 | |
| Not Available |
| Full Name | Wave Chirorpactic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5233 4th Avenue Cir E, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710741129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Maria Carleton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861437436 PECOS PAC ID: 5092783100 Enrollment ID: I20240416003101 |
| Provider Name | John John Carleton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770681272 PECOS PAC ID: 2163400029 Enrollment ID: I20240419001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Chirorpactic, Llc 10812 Charlotte Dr, Parrish, FL 34219-2322 Ph: (708) 769-0172 | Wave Chirorpactic, Llc 5233 4th Avenue Cir E, Bradenton, FL 34208-5622 Ph: (708) 769-0172 |
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