| Destiny Chiropractic, LLC | |
|
3365 Burns Rd Ste 214 Palm Beach Gardens FL 33410-4312 | |
| (561) 627-8464 | |
| (561) 627-8464 |
| Full Name | Destiny Chiropractic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3365 Burns Rd Ste 214, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Terri Denise Bonner (MANAGER) |
| Authorized Official Contact | 5616278464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Chiropractic, LLC 3178 Bermuda Rd West Palm Beach FL 33410-2421 Ph: (561) 627-8464 | Destiny Chiropractic, LLC 3365 Burns Rd Ste 214 Palm Beach Gardens FL 33410-4312 Ph: (561) 627-8464 |
| NPI Number | 1649585886 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 04/30/2013 |
| Medicare PECOS PAC ID | 5698890713 |
|---|---|
| Medicare Enrollment ID | O20100914000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649585886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH5873 (Florida) | Primary |
| Provider Name | Terri Denise Bonner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871795005 PECOS PAC ID: 9830214964 Enrollment ID: I20101012000137 |
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