| Thorassic Park, Inc | |
|
1603 60th Ave W, Bradenton, FL 34207-4658 | |
| (941) 758-1402 | |
| Not Available |
| Full Name | Thorassic Park, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 1603 60th Ave W, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780952937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | CH2745 (Florida) | Primary |
| Provider Name | Lucas R B Wilson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902333479 PECOS PAC ID: 2860762150 Enrollment ID: I20170719002115 |
| Provider Name | Stephanie Gannett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962102962 PECOS PAC ID: 1153785951 Enrollment ID: I20230913000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Thorassic Park, Inc 1603 60th Ave W, Bradenton, FL 34207-4658 Ph: (941) 758-1402 | Thorassic Park, Inc 1603 60th Ave W, Bradenton, FL 34207-4658 Ph: (941) 758-1402 |
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Dr. Richard Anthony Saladino, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11009 Gatewood Drive, Ste 103, Bradenton, FL 34211 Phone: 941-741-8900 Fax: 941-741-8990 | |
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