| Dr Gary Kent Stoltz, DC | |
|
2105 Prevatt St, Eustis, FL 32726-6131 | |
| (352) 357-7955 | |
| (352) 357-7254 |
| Full Name | Dr Gary Kent Stoltz |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2105 Prevatt St, Eustis, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316925084 | NPI | - | NPPES |
| 350053967 | Other | FL | MEDICARE RAILROAD |
| 89727 | Other | FL | BLUE CROSS BLUE SHIELD |
| CH2081 | Other | FL | WORK COMPENSATION |
| 380263900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH2081 (Florida) | Primary |
| Provider Name | Gary K Stoltz DC PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609153311 PECOS PAC ID: 5799959177 Enrollment ID: O20111121000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Kent Stoltz, DC 2105 Prevatt St, Eustis, FL 32726-6131 Ph: (352) 357-7955 | Dr Gary Kent Stoltz, DC 2105 Prevatt St, Eustis, FL 32726-6131 Ph: (352) 357-7955 |
Dr. Bryan Kent Stoltz, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2105 Prevatt St, Eustis, FL 32726 Phone: 352-357-7955 Fax: 352-357-7254 |
Lake Health Care Center Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 910 Mount Homer Rd, Eustis, FL 32726 Phone: 352-357-8615 |
James Fernandes, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 910 Mount Homer Rd, Eustis, FL 32726 Phone: 352-357-8615 Fax: 357-357-5873 |
Dr. Vilam Benahim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 925 Bay St., Eustis, FL 32726 Phone: 352-589-6307 |
Mr. Rick Dale Brown, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2701 Kurt St, Eustis, FL 32726 Phone: 352-357-1122 Fax: 352-357-3466 |
Wagner Chiropractic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2755 S Bay St, Suite D, Eustis, FL 32726 Phone: 352-589-5443 Fax: 352-589-5549 |
James Randall Glisson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 910 Mount Homer Rd, Eustis, FL 32726 Phone: 352-357-8615 Fax: 352-357-5873 |