| Atlantic Way Chiropractic, Llc | |
|
2074 Meadowlane Ave Melbourne FL 32904-4950 | |
| (321) 400-6282 | |
| (321) 333-5335 |
| Full Name | Atlantic Way Chiropractic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2074 Meadowlane Ave, Melbourne, Florida |
| Authorized Official Name and Position | Leslie Ryan (CHIROPRACTOR/OWNER) |
| Authorized Official Contact | 3214006282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Way Chiropractic, Llc 717 Bonnie Cir Melbourne FL 32901-4123 Ph: (321) 400-6282 | Atlantic Way Chiropractic, Llc 2074 Meadowlane Ave Melbourne FL 32904-4950 Ph: (321) 400-6282 |
| NPI Number | 1477262962 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Medicare PECOS PAC ID | 8022478072 |
|---|---|
| Medicare Enrollment ID | O20230731002510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477262962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alberto J Rodriguez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124537576 PECOS PAC ID: 5991067464 Enrollment ID: I20180321000304 |
| Provider Name | Leslie M Ryan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548779150 PECOS PAC ID: 6204199169 Enrollment ID: I20180406001645 |
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