| Kingdom Chiropractic | |
|
1484 Gulf To Bay Blvd Clearwater FL 33755-5358 | |
| (813) 434-1045 | |
| Not Available |
| Full Name | Kingdom Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 1484 Gulf To Bay Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Fredrick Williams (CHIROPRACTOR) |
| Authorized Official Contact | 8134341045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Chiropractic 1484 Gulf To Bay Blvd Clearwater FL 33755-5358 Ph: (813) 434-1045 | Kingdom Chiropractic 1484 Gulf To Bay Blvd Clearwater FL 33755-5358 Ph: (813) 434-1045 |
| NPI Number | 1881121473 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 05/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881121473 | NPI | - | NPPES |
| 4614444750 | Other | FL | EIN |
| 1962801613 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH11209 (Florida) | Primary |
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