| Sampson Chiropractic And Sports Inj | |
|
924 N Suncoast Blvd Crystal River FL 34429-5472 | |
| (352) 564-0460 | |
| Not Available |
| Full Name | Sampson Chiropractic And Sports Inj |
|---|---|
| Speciality | Clinic/Center |
| Location | 924 N Suncoast Blvd, Crystal River, Florida |
| Authorized Official Name and Position | Eric A Sampson (DOCTOR) |
| Authorized Official Contact | 3525640460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sampson Chiropractic And Sports Inj 924 N Suncoast Blvd Crystal River FL 34429-5472 Ph: (352) 564-0460 | Sampson Chiropractic And Sports Inj 924 N Suncoast Blvd Crystal River FL 34429-5472 Ph: (352) 564-0460 |
| NPI Number | 1619101532 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/14/2009 |
| Medicare PECOS PAC ID | 5395894737 |
|---|---|
| Medicare Enrollment ID | O20090514000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619101532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CH9594 (Florida) | Primary |
| Provider Name | Eric Alexander Sampson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104086834 PECOS PAC ID: 0941359384 Enrollment ID: I20090514000281 |
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