Divine Uc Chiropractic, Pllc | |
250 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937-4874 | |
(321) 241-4801 | |
Not Available |
Full Name | Divine Uc Chiropractic, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 250 E Eau Gallie Blvd, Indian Harbour 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 |
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1093527129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Rosa Elena Vince |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1114084852 PECOS PAC ID: 2062677826 Enrollment ID: I20250306002497 |
Provider Name | Abigail Madison Vince |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780496810 PECOS PAC ID: 5092236000 Enrollment ID: I20250306002643 |
Mailing Address | Practice Location Address |
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Divine Uc Chiropractic, Pllc 250 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937-4874 Ph: (321) 241-4801 | Divine Uc Chiropractic, Pllc 250 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937-4874 Ph: (321) 241-4801 |
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