| Vitality Chiropractic And Wellness Center | |
|
3348 Tyrone Blvd N, Saint Petersburg, FL 33710-2340 | |
| (727) 381-7433 | |
| Not Available |
| Full Name | Vitality Chiropractic And Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3348 Tyrone Blvd N, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740438449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8283 (Florida) | Primary |
| Provider Name | Steven Wyckoff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912905662 PECOS PAC ID: 1951337989 Enrollment ID: I20110120000583 |
| Provider Name | Jordon D Vanderveen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154713311 PECOS PAC ID: 3870804214 Enrollment ID: I20150625001864 |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Chiropractic And Wellness Center 3348 Tyrone Blvd N, Saint Petersburg, FL 33710-2340 Ph: (727) 381-7433 | Vitality Chiropractic And Wellness Center 3348 Tyrone Blvd N, Saint Petersburg, FL 33710-2340 Ph: (727) 381-7433 |
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