| Radiant Health Chiropractic Llc | |
|
209 Dunlawton Ave Ste 18, Port Orange, FL 32127-4458 | |
| (386) 308-9076 | |
| (386) 675-6591 |
| Full Name | Radiant Health Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 209 Dunlawton Ave Ste 18, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184991127 | NPI | - | NPPES |
| 007930500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH9993 (Florida) | Primary |
| Provider Name | Brandon W Lavelle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396055737 PECOS PAC ID: 5698964773 Enrollment ID: I20110105000104 |
| Provider Name | Nikolai Alexander Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699378125 PECOS PAC ID: 1254743461 Enrollment ID: I20201211002298 |
| Provider Name | Cristofer Peter Santilli |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497448427 PECOS PAC ID: 4082071626 Enrollment ID: I20230613001334 |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Health Chiropractic Llc 209 Dunlawton Ave Ste 18, Port Orange, FL 32127-4458 Ph: (386) 308-9076 | Radiant Health Chiropractic Llc 209 Dunlawton Ave Ste 18, Port Orange, FL 32127-4458 Ph: (386) 308-9076 |
Ms. Erica Elizabeth Adams, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4904 Clyde Morris Blvd Ste A, Port Orange, FL 32129 Phone: 386-307-8207 | |
Dr. Carl Francesco Stephens, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4705 S Clyde Morris Blvd, Port Orange, FL 32129 Phone: 386-763-2768 | |
Dr. Kyna Renee Sanchez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 803 Banbury Dr, Port Orange, FL 32129 Phone: 315-593-4655 | |
Garrett Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1409 Royal Grove Ln, Port Orange, FL 32129 Phone: 386-795-8700 | |
Dr. Jeffery Kyle Clifton, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1402 Dunlawton Ave Ste 4d, Port Orange, FL 32127 Phone: 386-760-6150 Fax: 386-788-1998 | |
Gabriel Jacob Garrison, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1103 Nature View Cir, Port Orange, FL 32128 Phone: 854-812-5273 | |
Dr. Rosemary Valero, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 429 Champagne Circle, Port Orange, FL 32127 Phone: 386-846-4695 |