| Peluso Chiropractic Center Pa | |
|
36949 Us Highway 19 N Palm Harbor FL 34684-1238 | |
| (727) 934-7602 | |
| (727) 934-7704 |
| Full Name | Peluso Chiropractic Center Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 36949 Us Highway 19 N, Palm Harbor, Florida |
| Authorized Official Name and Position | Joshua Bly (PRESIDENT) |
| Authorized Official Contact | 7279347602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peluso Chiropractic Center Pa 36949 Us Highway 19 N Palm Harbor FL 34684-1238 Ph: (727) 934-7602 | Peluso Chiropractic Center Pa 36949 Us Highway 19 N Palm Harbor FL 34684-1238 Ph: (727) 934-7602 |
| NPI Number | 1255476230 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 09/27/2021 |
| Medicare PECOS PAC ID | 2466624739 |
|---|---|
| Medicare Enrollment ID | O20111010000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255476230 | NPI | - | NPPES |
| 0554294-00 | Medicaid | FL |
| Provider Name | Kenneth B Peluso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568536647 PECOS PAC ID: 2062685431 Enrollment ID: I20111031000284 |
| Provider Name | Joshua D Bly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780962878 PECOS PAC ID: 8628225919 Enrollment ID: I20120821000643 |
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