| Miss Samantha Jo Lynette Staton, DC | |
|
17429 Bridge Hill Ct, Tampa, FL 33647-3467 | |
| (813) 983-7921 | |
| Not Available |
| Full Name | Miss Samantha Jo Lynette Staton |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 17429 Bridge Hill Ct, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124583885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH14555 (Florida) | Primary |
| Provider Name | North Tampa Spine & Joint Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851624456 PECOS PAC ID: 2365581311 Enrollment ID: O20091203000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Samantha Jo Lynette Staton, DC 28360 Cr 280, Carrollton, MO 64633-8560 Ph: (660) 322-1712 | Miss Samantha Jo Lynette Staton, DC 17429 Bridge Hill Ct, Tampa, FL 33647-3467 Ph: (813) 983-7921 |
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