| Doctor Spine Chiropractic | |
|
1328 Jenks Ave Unit B Panama City FL 32401-2591 | |
| (850) 812-8026 | |
| Not Available |
| Full Name | Doctor Spine Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1328 Jenks Ave Unit B, Panama City, Florida |
| Authorized Official Name and Position | Jonathan C Jung (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 8508128026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Spine Chiropractic 1328 Jenks Ave Unit B Panama City FL 32401-2591 Ph: (850) 812-8026 | Doctor Spine Chiropractic 1328 Jenks Ave Unit B Panama City FL 32401-2591 Ph: (850) 812-8026 |
| NPI Number | 1013649078 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 1153794706 |
|---|---|
| Medicare Enrollment ID | O20230301000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013649078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jonathan Courtney Jung |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811410897 PECOS PAC ID: 2062885619 Enrollment ID: I20230301000506 |
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