David M. Trax, D.c., P.a. | |
6005 Se Us Highway 301 Suite 405 A Hawthorne FL 32640-7316 | |
(352) 481-9994 | |
(352) 481-9954 |
Full Name | David M. Trax, D.c., P.a. |
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Speciality | Clinic/Center |
Location | 6005 Se Us Highway 301, Hawthorne, Florida |
Authorized Official Name and Position | David M Trax (PRESIDENT) |
Authorized Official Contact | 3524819994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David M. Trax, D.c., P.a. 6005 Se Us Highway 301 Suite 405 A Hawthorne FL 32640-7316 Ph: (352) 481-9994 | David M. Trax, D.c., P.a. 6005 Se Us Highway 301 Suite 405 A Hawthorne FL 32640-7316 Ph: (352) 481-9994 |
NPI Number | 1346480225 |
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Provider Enumeration Date | 03/04/2009 |
Last Update Date | 03/04/2009 |
Medicare PECOS PAC ID | 0345393500 |
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Medicare Enrollment ID | O20090805000479 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346480225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | CH8028 (Florida) | Primary |
Provider Name | David M Trax |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144426446 PECOS PAC ID: 4880596519 Enrollment ID: I20090805000470 |
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