Individual
DR. BRET J MACDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, DACS
Contact information
Practice address
2940 MALLORY CIR, STE 205, CELEBRATION, FL 34747-1818
(407) 507-6976
(888) 808-4097
Mailing address
2940 MALLORY CIR, STE 205, CELEBRATION, FL 34747-1818
(407) 507-6976
(888) 808-4097
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1618
WA
111N00000X
Chiropractor
Primary
CH9737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201B
BCBS
FL
01
—
C0580Z
MEDICARE INDIVIDUAL
FL
Enumeration date
11/01/2006
Last updated
06/27/2016
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