| Robert Trevor Hardman, | |
|
155 Fountains Way Ste 6, St Johns, FL 32259-1144 | |
| (904) 342-5455 | |
| Not Available |
| Full Name | Robert Trevor Hardman |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 7 Years |
| Location | 155 Fountains Way Ste 6, St Johns, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174085559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH12770 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Center Llc | 2466849682 | 2 |
| Provider Name | Endeavor Health Center LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356981955 PECOS PAC ID: 2466849682 Enrollment ID: O20220418001635 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Trevor Hardman, 4959 Nw 115th Way, Coral Springs, FL 33076-3208 Ph: Not Available | Robert Trevor Hardman, 155 Fountains Way Ste 6, St Johns, FL 32259-1144 Ph: (904) 342-5455 |
Vassil I Valov, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 254 Everest Ln, St Johns, FL 32259 Phone: 904-862-2662 Fax: 904-862-2662 |
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