| Dr Colby Deem Caltrider, DC | |
|
309 Kingsley Lake Dr Ste 901, St Augustine, FL 32092-3048 | |
| (904) 999-8343 | |
| (904) 325-9049 |
| Full Name | Dr Colby Deem Caltrider |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 309 Kingsley Lake Dr Ste 901, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588046262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH11232 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH 11232 (Florida) | Primary |
| Provider Name | Donald B Campbell Dc Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265624506 PECOS PAC ID: 2264506112 Enrollment ID: O20080811000504 |
| Provider Name | Integrative Healthcare Solutions, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427383215 PECOS PAC ID: 7810032943 Enrollment ID: O20100301000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colby Deem Caltrider, DC 1639 Southside Blvd, Jacksonville, FL 32216-1923 Ph: (904) 725-2286 | Dr Colby Deem Caltrider, DC 309 Kingsley Lake Dr Ste 901, St Augustine, FL 32092-3048 Ph: (904) 999-8343 |
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