Organization
DEPREY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN MELVIN DEPREY DC (DOCTOR OF CHIROPRACTIC)
(904) 471-2225
Entity
Organization
Contact information
Practice address
2180 AIA SO, STE 100, ST AUGUSTINE, FL 32080-6523
(904) 471-2225
(904) 471-6236
Mailing address
2180 AIA SO, STE 100, ST AUGUSTINE, FL 32080-6523
(904) 471-2225
(904) 471-6236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22575
BCBS
—
01
—
350037467
RAILROAD MEDICARE
FL
Enumeration date
03/16/2006
Last updated
04/30/2008
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