| Crhg, Llc | |
|
1548 Bloomingdale Ave Valrico FL 33596-6101 | |
| (813) 946-6283 | |
| Not Available |
| Full Name | Crhg, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1548 Bloomingdale Ave, Valrico, Florida |
| Authorized Official Name and Position | Carmen R Guy (OWNER) |
| Authorized Official Contact | 3863017406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crhg, Llc 1308 Dragon Head Dr Valrico FL 33594-9341 Ph: (386) 301-7406 | Crhg, Llc 1548 Bloomingdale Ave Valrico FL 33596-6101 Ph: (813) 946-6283 |
| NPI Number | 1306532379 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 5890152219 |
|---|---|
| Medicare Enrollment ID | O20230530003477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306532379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carmen R Guy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306584198 PECOS PAC ID: 4981061306 Enrollment ID: I20230530003471 |
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