Emjn L.l.c | |
3401 W Waters Ave Tampa FL 33614-2713 | |
(813) 935-8906 | |
Not Available |
Full Name | Emjn L.l.c |
---|---|
Speciality | Clinic/Center |
Location | 3401 W Waters Ave, Tampa, Florida |
Authorized Official Name and Position | Erick Rafael Corps (CHIROPRACTOR) |
Authorized Official Contact | 8138929667 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Emjn L.l.c 5034 Torrey Hills Ln Lutz FL 33558-5704 Ph: (813) 892-9667 | Emjn L.l.c 3401 W Waters Ave Tampa FL 33614-2713 Ph: (813) 935-8906 |
NPI Number | 1316230725 |
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Provider Enumeration Date | 05/18/2011 |
Last Update Date | 07/26/2019 |
Medicare PECOS PAC ID | 6709057888 |
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Medicare Enrollment ID | O20110921000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316230725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | CH9681 (Florida) | Primary |
Provider Name | Erick R Corps |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841439775 PECOS PAC ID: 8224209309 Enrollment ID: I20110921000514 |
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