Organization
BEE RIDGE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN JAMES EDMONDS D.C. (OWNER)
(941) 365-8555
Entity
Organization
Contact information
Practice address
6155 26TH ST W, BRADENTON, FL 34207-4404
(941) 753-3949
(941) 756-8744
Mailing address
PO BOX 21962, SARASOTA, FL 34276-4962
(941) 365-8555
(941) 756-8744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381785700
—
FL
01
—
70249
BLUE CROSS PROVIDER #
FL
01
—
K2568
MEDICARE GROUP #
FL
Enumeration date
03/19/2009
Last updated
10/22/2012
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