| Dr Kenneth Thomas Mack, DC | |
|
1525 S Alafaya Trl, Suite 102, Orlando, FL 32828-8926 | |
| (321) 236-8452 | |
| Not Available |
| Full Name | Dr Kenneth Thomas Mack |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1525 S Alafaya Trl, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437336641 | NPI | - | NPPES |
| 1780703397 | Other | NPI GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8704 (Florida) | Primary |
| Provider Name | Mauricio Chiropractic Clinics Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992988109 PECOS PAC ID: 2860429669 Enrollment ID: O20050723000086 |
| Provider Name | Mauricio Chiropractic South L L C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689870412 PECOS PAC ID: 5890723217 Enrollment ID: O20050727001030 |
| Provider Name | Regional Chiropractic Group Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396702130 PECOS PAC ID: 8224056734 Enrollment ID: O20051103000352 |
| Provider Name | Mauricio Chiropractic East Colonial, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245413459 PECOS PAC ID: 4385723451 Enrollment ID: O20080501000251 |
| Provider Name | Mauricio Chiropractic Poinciana Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477739258 PECOS PAC ID: 5193897098 Enrollment ID: O20080710000055 |
| Provider Name | Mauricio Chiropractic Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629258330 PECOS PAC ID: 7719036839 Enrollment ID: O20090520000515 |
| Provider Name | Mauricio Chiropractic Dr Phillips Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396110110 PECOS PAC ID: 3870889421 Enrollment ID: O20160907001825 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Thomas Mack, DC 1525 S Alafaya Trl, Suite 102, Orlando, FL 32828-8926 Ph: (321) 236-8452 | Dr Kenneth Thomas Mack, DC 1525 S Alafaya Trl, Suite 102, Orlando, FL 32828-8926 Ph: (321) 236-8452 |
Dr. Andrew D Sutherland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5179 S John Young Parkway, Orlando, FL 32839 Phone: 407-242-5972 Fax: 407-816-9569 | |
Pine Castle Chiropractic Center, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 707 E Oak Ridge Rd., Orlando, FL 32809 Phone: 407-855-7199 Fax: 407-855-7237 | |
South Orlando Family Practice & Medical Injury Center Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4401 S Orange Ave, #116, Orlando, FL 32806 Phone: 407-850-2593 Fax: 407-850-9645 | |
Dr. Cleberton Sousa Bastos, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7121 Grand National Dr Ste 102, Orlando, FL 32819 Phone: 407-308-8878 | |
Johan Collazo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12301 Lake Underhill Rd # 254, Orlando, FL 32828 Phone: 407-270-6601 | |
Dr. Elizabeth De La Caridad Rivera, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6005 Mausser Dr Apt 2e, Orlando, FL 32822 Phone: 386-235-6822 | |
Luis Omar Lopez-rodriguez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2206 E Colonial Dr, Orlando, FL 32803 Phone: 407-839-1045 |