| Graham Chiropractic, Pa | |
|
7532 W Sand Lake Rd, Orlando, FL 32819-5110 | |
| (407) 363-0052 | |
| (407) 363-0566 |
| Full Name | Graham Chiropractic, Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7532 W Sand Lake Rd, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487841607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH0007147 (Florida) | Primary |
| Provider Name | Glenn S Graham |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245441708 PECOS PAC ID: 6507834603 Enrollment ID: I20040918000036 |
| Provider Name | Edward A Gilbert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700151081 PECOS PAC ID: 1658533351 Enrollment ID: I20120425000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Chiropractic, Pa 7532 W Sand Lake Rd, Orlando, FL 32819-5110 Ph: (407) 363-0052 | Graham Chiropractic, Pa 7532 W Sand Lake Rd, Orlando, FL 32819-5110 Ph: (407) 363-0052 |
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Johan Collazo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12301 Lake Underhill Rd # 254, Orlando, FL 32828 Phone: 407-270-6601 | |
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