Braden Clinic Llc | |
5050 Ave Maria Blvd Ave Maria FL 34142-9505 | |
(323) 445-0544 | |
Not Available |
Full Name | Braden Clinic Llc |
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Speciality | Clinic/Center |
Location | 5050 Ave Maria Blvd, Ave Maria, Florida |
Authorized Official Name and Position | Beau Braden (SOLE OWNER) |
Authorized Official Contact | 2398674395 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Braden Clinic Llc 5050 Ave Maria Blvd Ave Maria FL 34142-9505 Ph: (323) 445-0544 | Braden Clinic Llc 5050 Ave Maria Blvd Ave Maria FL 34142-9505 Ph: (323) 445-0544 |
NPI Number | 1598349060 |
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Provider Enumeration Date | 05/10/2021 |
Last Update Date | 05/10/2021 |
Medicare PECOS PAC ID | 2567684954 |
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Medicare Enrollment ID | O20210904000001 |
Identifier | Type | State | Issuer |
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1598349060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ave Maria Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Annunciation Cir, Suite 104, Ave Maria, FL 34142 Phone: 239-348-1696 |