| Brd Wellness Pllc | |
|
60 2nd St Unit C-7 Shalimar FL 32579-1769 | |
| (850) 613-4125 | |
| Not Available |
| Full Name | Brd Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 60 2nd St Unit C-7, Shalimar, Florida |
| Authorized Official Name and Position | Bambi Denais (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 8506134125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brd Wellness Pllc 613 Powell Dr Niceville FL 32578-2038 Ph: (337) 278-4107 | Brd Wellness Pllc 60 2nd St Unit C-7 Shalimar FL 32579-1769 Ph: (850) 613-4125 |
| NPI Number | 1487239539 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Medicare PECOS PAC ID | 0941694533 |
|---|---|
| Medicare Enrollment ID | O20220224001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487239539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Bambi R Denais |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457683245 PECOS PAC ID: 5193857563 Enrollment ID: I20180220000012 |
Serenity Health Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 60 2nd St Unit C-7, Shalimar, FL 32579 Phone: 850-613-4125 Fax: 850-613-4148 |