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NPI Code Detail

MEDICARE: NEPTUNE CHIROPRACTIC AND WELLNESS

MEDICARE: NEPTUNE CHIROPRACTIC AND WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1003536970
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEPTUNE CHIROPRACTIC AND WELLNESS
Provider Business Mailing Address
First Line : 4273 NEPTUNE RD
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34769-6744
Country : US
Telephone Number : 407-253-0345
Fax Number :
Provider Business Practice Location Address
First Line : 4273 NEPTUNE RD
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34769-6744
Country : US
Telephone Number : 248-701-5781
Fax Number :
Authorized Official
Title or Position : OWNER/DOCTOR
Name : JOLENE DIANE PATTERSON
Credential : DC
Telephone Number : 407-253-0345
Provider Enumeration Date : 08/31/2022
Last Update Date : 02/02/2023

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Directions to “NEPTUNE CHIROPRACTIC AND WELLNESS ” Practice Location

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