| Dr Lacey Ebert, DC | |
|
510 Sw 5th Ter # B, Williston, FL 32696-2548 | |
| (352) 528-5433 | |
| Not Available |
| Full Name | Dr Lacey Ebert |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 510 Sw 5th Ter # B, Williston, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649673518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.012684 (Illinois) | Primary |
| Provider Name | Ocala Integrative Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548410756 PECOS PAC ID: 9638233372 Enrollment ID: O20090126000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lacey Ebert, DC 5001 Sw 20th St Apt 7001, Ocala, FL 34474-8734 Ph: (630) 747-3521 | Dr Lacey Ebert, DC 510 Sw 5th Ter # B, Williston, FL 32696-2548 Ph: (352) 528-5433 |
Dr. Craig Henderson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 510b Sw 5th Ter, Williston, FL 32696 Phone: 352-528-5433 Fax: 352-528-0656 | |
Dr. Richard Joseph Fontaine Iii, D.C, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 510 Sw 5th Ter # B, Williston, FL 32696 Phone: 352-528-5433 | |
Craig Henderson Dc Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 510b Sw 5th Ter, Williston, FL 32696 Phone: 352-528-5433 Fax: 352-528-0656 | |
Motion Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 510 Sw 5th Ter # B, Williston, FL 32696 Phone: 352-528-5433 |