| East Lake Chiropractic & Medical Center, Inc. | |
|
4028 13th St Saint Cloud FL 34769-6773 | |
| (407) 957-9995 | |
| (407) 957-7536 |
| Full Name | East Lake Chiropractic & Medical Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4028 13th St, Saint Cloud, Florida |
| Authorized Official Name and Position | Christopher Mcnichols (OWNER) |
| Authorized Official Contact | 4079579995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Lake Chiropractic & Medical Center, Inc. 4028 13th St Saint Cloud FL 34769-6773 Ph: (407) 957-9995 | East Lake Chiropractic & Medical Center, Inc. 4028 13th St Saint Cloud FL 34769-6773 Ph: (407) 957-9995 |
| NPI Number | 1811495617 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 8820341019 |
|---|---|
| Medicare Enrollment ID | O20181106001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811495617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Dana R Beller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164991857 PECOS PAC ID: 5395085336 Enrollment ID: I20190328002807 |
| Provider Name | Kerem Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578171401 PECOS PAC ID: 0648681155 Enrollment ID: I20201204000030 |
| Provider Name | Nicole Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427631969 PECOS PAC ID: 0244605228 Enrollment ID: I20230404002389 |
Jbm Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4898 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771 Phone: 863-512-4385 | |
Neptune Chiropractic And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4273 Neptune Rd, Saint Cloud, FL 34769 Phone: 248-701-5781 | |
Premier Endocrinology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3004 17th St, Saint Cloud, FL 34769 Phone: 407-593-2910 Fax: 407-593-2913 | |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Budinger Ave Ste 108, Saint Cloud, FL 34769 Phone: 407-892-3387 | |
Global Medical Care Of Orlando Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3931 Wind Dancer Cir, Saint Cloud, FL 34772 Phone: 914-258-8272 | |
Altea Medical Florida Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4641 Old Canoe Creek Rd, Saint Cloud, FL 34769 Phone: 407-892-7344 | |
Waves-of-life Family Telehealth Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1870 Stillwood Way, Saint Cloud, FL 34771 Phone: 407-973-5266 |