| Powell Family Chiropractic | |
|
5317 Fruitville Rd Ste 52 Sarasota FL 34232-6402 | |
| (941) 927-5913 | |
| (941) 927-5914 |
| Full Name | Powell Family Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5317 Fruitville Rd, Sarasota, Florida |
| Authorized Official Name and Position | Maceo B Powell (OWNER) |
| Authorized Official Contact | 9419275913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Family Chiropractic 3667 Bahia Vista St Ste A Sarasota FL 34232-2407 Ph: (941) 927-5913 | Powell Family Chiropractic 5317 Fruitville Rd Ste 52 Sarasota FL 34232-6402 Ph: (941) 927-5913 |
| NPI Number | 1215167135 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 07/07/2011 |
| Medicare PECOS PAC ID | 9436288719 |
|---|---|
| Medicare Enrollment ID | O20100525000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215167135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CH-7710 (Florida) | Primary |
| Provider Name | Maceo B Powell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336365667 PECOS PAC ID: 8426187709 Enrollment ID: I20100525000527 |
| Provider Name | Kim Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588335327 PECOS PAC ID: 8123494069 Enrollment ID: I20221018003452 |
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