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Organization
PENGE CHIROPRACTIC HEALTH CENTER PA
Active
Organization
PENGE CHIROPRACTIC HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J PENGE DC (PRESIDENT)
(941) 365-4343
Entity
Organization
Contact information
Practice address
2727 S TAMIAMI TRL, SUITE 3, SARASOTA, FL 34239-4524
(941) 365-4343
(941) 365-4838
Mailing address
2727 S TAMIAMI TRL, SUITE 3, SARASOTA, FL 34239-4524
(941) 365-4343
(941) 365-4838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350041825
RAILROAD MEDICARE
FL
01
—
55152
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/07/2006
Last updated
03/02/2012
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