Perry Chiropractic Clinic, Inc. | |
305 N Orange St Perry FL 32347-2726 | |
(850) 584-7117 | |
(850) 584-7119 |
Full Name | Perry Chiropractic Clinic, Inc. |
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Speciality | Clinic/center |
Location | 305 N Orange St, Perry, Florida |
Authorized Official Name and Position | Lee Steven Nelsen (CEO) |
Authorized Official Contact | 8505847117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Perry Chiropractic Clinic, Inc. 305 N Orange St Perry FL 32347-2726 Ph: (850) 584-7117 | Perry Chiropractic Clinic, Inc. 305 N Orange St Perry FL 32347-2726 Ph: (850) 584-7117 |
NPI Number | 1184871667 |
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Provider Enumeration Date | 08/26/2008 |
Last Update Date | 05/19/2016 |
Identifier | Type | State | Issuer |
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1184871667 | NPI | - | NPPES |
005448400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | CH4181 (Florida) | Primary |