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Organization
MACHARA CHIROPRACTIC INC
Active
Organization
MACHARA CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY M MACHARA DC (PRESIDENT)
(386) 479-6429
Entity
Organization
Contact information
Practice address
1643 STARGAZER TER, SANFORD, FL 32771-9298
(386) 479-6429
Mailing address
1643 STARGAZER TER, SANFORD, FL 32771-9298
(386) 479-6429
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22304
BLUE CROSS BLUE SHIELD
FL
01
—
350055647
RAILROAD MEDICARE
FL
Enumeration date
07/11/2006
Last updated
08/12/2014
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