| Rise Health Chiropractic, Llc | |
|
142 E Granada Blvd Ste 207 Ormond Beach FL 32176-6688 | |
| (386) 242-2071 | |
| Not Available |
| Full Name | Rise Health Chiropractic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 142 E Granada Blvd Ste 207, Ormond Beach, Florida |
| Authorized Official Name and Position | Nicole Cherise Foster (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3862422071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Health Chiropractic, Llc 142 E Granada Blvd Ste 207 Ormond Beach FL 32176-6688 Ph: (386) 242-2071 | Rise Health Chiropractic, Llc 142 E Granada Blvd Ste 207 Ormond Beach FL 32176-6688 Ph: (386) 242-2071 |
| NPI Number | 1255001541 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 0446658819 |
|---|---|
| Medicare Enrollment ID | O20211015000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255001541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nicole C Foster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346807195 PECOS PAC ID: 6709284177 Enrollment ID: I20211015000808 |
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