| Lake Mary Spine & Rehabilitation Center | |
|
820 W Lake Mary Blvd 107 Sanford FL 32773-5946 | |
| (407) 942-3258 | |
| (407) 942-3316 |
| Full Name | Lake Mary Spine & Rehabilitation Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 820 W Lake Mary Blvd, Sanford, Florida |
| Authorized Official Name and Position | Yanina Genao (CHIROPRACTOR) |
| Authorized Official Contact | 4079423258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Mary Spine & Rehabilitation Center 820 W Lake Mary Blvd 107 Sanford FL 32773-5946 Ph: (407) 942-3258 | Lake Mary Spine & Rehabilitation Center 820 W Lake Mary Blvd 107 Sanford FL 32773-5946 Ph: (407) 942-3258 |
| NPI Number | 1154724441 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Medicare PECOS PAC ID | 6507180379 |
|---|---|
| Medicare Enrollment ID | O20150127001203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154724441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH 10784 (Florida) | Primary |
| Provider Name | Yanina Genao |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013251032 PECOS PAC ID: 1355580747 Enrollment ID: I20130614000482 |
| Provider Name | Xavier M Aguilera |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912362039 PECOS PAC ID: 9739479882 Enrollment ID: I20160602001460 |
| Provider Name | Eric M Castrodad Santini |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891211470 PECOS PAC ID: 8123368560 Enrollment ID: I20190320003001 |
| Provider Name | Nandy J Toro Hernandez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699319095 PECOS PAC ID: 6406275007 Enrollment ID: I20201001000353 |
True Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 | |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2432 S French Ave, Sanford, FL 32771 Phone: 407-768-4464 Fax: 407-878-0114 | |
Health Holdings Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2698 S Orlando Dr, Sanford, FL 32773 Phone: 407-664-0515 | |
Primary Care Physicians Of Sanford Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W 1st St, Sanford, FL 32771 Phone: 407-324-5035 Fax: 407-321-5266 | |
Palm Medical Center Lakeland Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2698 S Orlando Dr, Sanford, FL 32773 Phone: 407-487-8975 Fax: 407-487-8983 | |
Josie Velasco Od Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3661 S Orlando Dr, Sanford, FL 32773 Phone: 407-323-4640 | |
S & B Health Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 W Lake Mary Blvd, Sanford, FL 32773 Phone: 407-401-9140 Fax: 888-501-2105 |