| East Lake Chiropractic And Injury Center Inc | |
|
4028 13th St, Saint Cloud, FL 34769-6773 | |
| (407) 957-9995 | |
| Not Available |
| Full Name | East Lake Chiropractic And Injury Center Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4028 13th St, Saint Cloud, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053574855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH9561 (Florida) | Primary |
| Provider Name | Christopher L Mcnichols |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760642524 PECOS PAC ID: 9133289341 Enrollment ID: I20081118000586 |
| Provider Name | Rafael Massa Tormos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720542921 PECOS PAC ID: 5698186443 Enrollment ID: I20201130001065 |
| Provider Name | Juliana Elizabeth Mitchell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366045940 PECOS PAC ID: 9638583404 Enrollment ID: I20210208000733 |
| Provider Name | Leonardo Nunez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093536880 PECOS PAC ID: 6901331800 Enrollment ID: I20241202003154 |
| Mailing Address | Practice Location Address |
|---|---|
| East Lake Chiropractic And Injury Center Inc 4028 13th St, Saint Cloud, FL 34769-6773 Ph: (407) 957-9995 | East Lake Chiropractic And Injury Center Inc 4028 13th St, Saint Cloud, FL 34769-6773 Ph: (407) 957-9995 |
Dr. Renee Boccio, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2090 Old Hickory Tree Rd Ste 107, Saint Cloud, FL 34772 Phone: 407-593-1273 Fax: 352-353-4717 | |
Dr. Samuel Elias Lucha, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1320 Louisiana Ave Ste D, Saint Cloud, FL 34769 Phone: 407-593-8052 Fax: 407-593-9014 | |
Joint Maneuvers Chiropractic Centre Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769 Phone: 407-498-0222 Fax: 407-892-0800 | |
Dr. Tyler Leopardi, D.C., M.S. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1933 S Narcoossee Rd, Saint Cloud, FL 34771 Phone: 321-430-3820 | |
Lucha Chiropractic Quality Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1320 Louisiana Ave Ste D, Saint Cloud, FL 34769 Phone: 407-593-8052 Fax: 407-593-9014 | |
Leonardo Nunez, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 4028 13th St, Saint Cloud, FL 34771 Phone: 407-957-9995 |