| Riverview Chiropractic Center, Inc. | |
|
10732 Ketchum Valley Dr Riverview FL 33579-7185 | |
| (813) 677-2700 | |
| (813) 677-6355 |
| Full Name | Riverview Chiropractic Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10732 Ketchum Valley Dr, Riverview, Florida |
| Authorized Official Name and Position | Steven Joseph Minafri (OWNER) |
| Authorized Official Contact | 8136772700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Chiropractic Center, Inc. 10732 Ketchum Valley Dr Riverview FL 33579-7185 Ph: (813) 677-2700 | Riverview Chiropractic Center, Inc. 10732 Ketchum Valley Dr Riverview FL 33579-7185 Ph: (813) 677-2700 |
| NPI Number | 1114167137 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 12/14/2016 |
| Medicare PECOS PAC ID | 4587689534 |
|---|---|
| Medicare Enrollment ID | O20051010000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114167137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Steven J Minafri |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124043211 PECOS PAC ID: 4385669332 Enrollment ID: I20051012000492 |
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