| Tender Chiropractic Health Center Pa | |
|
219 North 11th Ave, Jacksonville Beach, FL 32250 | |
| (904) 247-0058 | |
| (904) 242-9779 |
| Full Name | Tender Chiropractic Health Center Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 219 North 11th Ave, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720064520 | NPI | - | NPPES |
| 280005500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH7782 (Florida) | Primary |
| Provider Name | John G Tender |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285817320 PECOS PAC ID: 3779608286 Enrollment ID: I20100921000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Chiropractic Health Center Pa 219 North 11th Ave, Jacksonville Beach, FL 32250 Ph: (904) 247-0058 | Tender Chiropractic Health Center Pa 219 North 11th Ave, Jacksonville Beach, FL 32250 Ph: (904) 247-0058 |
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