| Biocore Therapeutics, Llc | |
|
1002 S Dillard St Ste 114 Winter Garden FL 34787-3991 | |
| (407) 307-1510 | |
| Not Available |
| Full Name | Biocore Therapeutics, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1002 S Dillard St Ste 114, Winter Garden, Florida |
| Authorized Official Name and Position | Christopher Wayne Luczywo (PRACTICE MANAGER) |
| Authorized Official Contact | 4073071511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Biocore Therapeutics, Llc 1616 S Tanner Rd Orlando FL 32833-2791 Ph: (216) 570-6083 | Biocore Therapeutics, Llc 1002 S Dillard St Ste 114 Winter Garden FL 34787-3991 Ph: (407) 307-1510 |
| NPI Number | 1205548450 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205548450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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