Elite Wellness Center | |
6425 53rd St N Pinellas Park FL 33781-5629 | |
(727) 222-3459 | |
Not Available |
Full Name | Elite Wellness Center |
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Speciality | Clinic/Center |
Location | 6425 53rd St N, Pinellas Park, Florida |
Authorized Official Name and Position | Megan Burgess (OWNER) |
Authorized Official Contact | 7274201384 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elite Wellness Center 6425 53rd St N Pinellas Park FL 33781-5629 Ph: (727) 222-3459 | Elite Wellness Center 6425 53rd St N Pinellas Park FL 33781-5629 Ph: (727) 222-3459 |
NPI Number | 1457093619 |
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Provider Enumeration Date | 04/08/2022 |
Last Update Date | 04/14/2022 |
Medicare PECOS PAC ID | 1254727407 |
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Medicare Enrollment ID | O20220415000541 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457093619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Megan C Burgess |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1588289086 PECOS PAC ID: 3476968710 Enrollment ID: I20210218000392 |
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