| Coastal Chiropractic And Wellness | |
|
4155 Clark Rd Sarasota FL 34233-2403 | |
| (941) 929-0020 | |
| Not Available |
| Full Name | Coastal Chiropractic And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 4155 Clark Rd, Sarasota, Florida |
| Authorized Official Name and Position | Claire Louisa Fadely (OWNER) |
| Authorized Official Contact | 9418077825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Chiropractic And Wellness 4430 Exeter Dr Unit M304 Longboat Key FL 34228-2226 Ph: () - | Coastal Chiropractic And Wellness 4155 Clark Rd Sarasota FL 34233-2403 Ph: (941) 929-0020 |
| NPI Number | 1730669250 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/14/2018 |
| Medicare PECOS PAC ID | 4789917220 |
|---|---|
| Medicare Enrollment ID | O20190614001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730669250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Claire L Fadely |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144603564 PECOS PAC ID: 5698008134 Enrollment ID: I20190617000217 |
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