| Somersall Chiropractic LLC | |
|
4670 Babcock St Ne Suite 5 Palm Bay FL 32905-2841 | |
| (321) 821-7866 | |
| Not Available |
| Full Name | Somersall Chiropractic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4670 Babcock St Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Mia Somersall Hosey (MEMBER) |
| Authorized Official Contact | 3215065462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somersall Chiropractic LLC 4670 Babcock St Ne Suite 5 Palm Bay FL 32905-2841 Ph: (321) 821-7866 | Somersall Chiropractic LLC 4670 Babcock St Ne Suite 5 Palm Bay FL 32905-2841 Ph: (321) 821-7866 |
| NPI Number | 1760624563 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 03/26/2009 |
| Medicare PECOS PAC ID | 5597803627 |
|---|---|
| Medicare Enrollment ID | O20091111000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760624563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH9654 (Florida) | Primary |
| Provider Name | Mia S Hosey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184869067 PECOS PAC ID: 1052459187 Enrollment ID: I20091111000103 |
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