Demers Chiropractic Clinic | |
2208 S Hopkins Ave Titusville FL 32780-4744 | |
(321) 264-0072 | |
(321) 264-3370 |
Full Name | Demers Chiropractic Clinic |
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Speciality | Clinic/Center |
Location | 2208 S Hopkins Ave, Titusville, Florida |
Authorized Official Name and Position | Kevin J Demers (OWNER) |
Authorized Official Contact | 3212640072 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Demers Chiropractic Clinic 2208 S Hopkins Ave Titusville FL 32780-4744 Ph: (321) 264-0072 | Demers Chiropractic Clinic 2208 S Hopkins Ave Titusville FL 32780-4744 Ph: (321) 264-0072 |
NPI Number | 1174631253 |
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Provider Enumeration Date | 08/28/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4981662509 |
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Medicare Enrollment ID | O20041229000712 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174631253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kevin J Demers |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1326080151 PECOS PAC ID: 2163480781 Enrollment ID: I20041230000190 |
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