| Dougherty Chiropractic Clinic | |
|
1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 | |
| (386) 423-5259 | |
| (386) 423-0929 |
| Full Name | Dougherty Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1205 N Dixie Fwy, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770785412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH9205 (Florida) | Primary |
| Provider Name | Amanda J Prokop |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437238631 PECOS PAC ID: 2961596366 Enrollment ID: I20070917000084 |
| Provider Name | Tonya Dacko |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932641636 PECOS PAC ID: 2860777042 Enrollment ID: I20181219002654 |
| Provider Name | Samantha Leigh Jordan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407311533 PECOS PAC ID: 4385987585 Enrollment ID: I20190509001835 |
| Provider Name | Jose Sanchez-santiago |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639773690 PECOS PAC ID: 3577976117 Enrollment ID: I20201229000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dougherty Chiropractic Clinic 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 Ph: (386) 423-5259 | Dougherty Chiropractic Clinic 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 Ph: (386) 423-5259 |
Matthew James Smith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3516 S Atlantic Ave, New Smyrna Beach, FL 32169 Phone: 386-690-4413 | |
Dr. Ronald Lindsey Underhill Iii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 401 Canal St, New Smyrna Beach, FL 32168 Phone: 334-655-8455 | |
Pioneer Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 1865 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-470-1860 | |
Dr. Christopher Thomas Smith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1 Lake Fairgreen Cir, New Smyrna Beach, FL 32168 Phone: 386-410-3416 | |
Oceanside Wellness Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 3516 S Atlantic Avenue, New Smyrna Beach, FL 32169 Phone: 386-235-4412 Fax: 386-410-2918 | |
Dr. Kory Pugh, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 604 Edward St, New Smyrna Beach, FL 32168 Phone: 386-259-8365 | |
Dr. Robert George Ostheim Iii, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 225 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-424-9977 Fax: 386-423-3899 |