| Profusion Chiropractic Pllc | |
|
1200 Nw 17th Ave Ste 6 Delray Beach FL 33445-2512 | |
| (561) 504-6344 | |
| Not Available |
| Full Name | Profusion Chiropractic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Nw 17th Ave Ste 6, Delray Beach, Florida |
| Authorized Official Name and Position | Jason Robert Alviene (MGR) |
| Authorized Official Contact | 7728289559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Profusion Chiropractic Pllc 6390 Brava Way Boca Raton FL 33433-8235 Ph: (772) 828-9559 | Profusion Chiropractic Pllc 1200 Nw 17th Ave Ste 6 Delray Beach FL 33445-2512 Ph: (561) 504-6344 |
| NPI Number | 1720628571 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 02/10/2020 |
| Medicare PECOS PAC ID | 4486079787 |
|---|---|
| Medicare Enrollment ID | O20200804000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720628571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jason R Alviene |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306082540 PECOS PAC ID: 5193859130 Enrollment ID: I20100812001105 |
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