Organization
CHESAPEAKE HYPERBARIC LC
Active
Organization
CHESAPEAKE HYPERBARIC LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE RENEE REILLO PH.D., R.N. (DIRECTOR)
(904) 271-1053
Entity
Organization
Contact information
Practice address
129 SEAGROVE MAIN STREET, UNIT 202, ST. AUGUSTINE, FL 32080
(804) 296-4094
Mailing address
9562 DEERECO ROAD, UTHERVILLE, MD 21093
(904) 271-1053
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
R080304
MD
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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