| Chesapeake Hyperbaric Lc | |
|
129 Seagrove Main Street Unit 202 St. Augustine FL 32080 | |
| (804) 296-4094 | |
| Not Available |
| Full Name | Chesapeake Hyperbaric Lc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 129 Seagrove Main Street, St. Augustine, Florida |
| Authorized Official Name and Position | Michelle Renee Reillo (DIRECTOR) |
| Authorized Official Contact | 9042711053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Hyperbaric Lc 9562 Deereco Road Utherville MD 21093 Ph: (904) 271-1053 | Chesapeake Hyperbaric Lc 129 Seagrove Main Street Unit 202 St. Augustine FL 32080 Ph: (804) 296-4094 |
| NPI Number | 1205159423 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205159423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | R080304 (Maryland) | Primary |
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