| Fiore Chiropractic Centre, Pa | |
|
8101 Southside Blvd Suite 5 Jacksonville FL 32256-8067 | |
| (904) 646-9355 | |
| (904) 646-9708 |
| Full Name | Fiore Chiropractic Centre, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 8101 Southside Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Michael Lee Fiore (OWNER/PRESIDENT) |
| Authorized Official Contact | 9046469355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiore Chiropractic Centre, Pa 8101 Southside Blvd Suite 5 Jacksonville FL 32256-8067 Ph: (904) 646-9355 | Fiore Chiropractic Centre, Pa 8101 Southside Blvd Suite 5 Jacksonville FL 32256-8067 Ph: (904) 646-9355 |
| NPI Number | 1457628117 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Medicare PECOS PAC ID | 5193982213 |
|---|---|
| Medicare Enrollment ID | O20120201000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457628117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH 4913 (Florida) | Primary |
| Provider Name | Michael Lee Fiore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003965625 PECOS PAC ID: 4183881204 Enrollment ID: I20120201000500 |
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