Organization
PALM HARBOR CHIROPRACTIC AND REHABILITATION CLINIC, INC.
Active
Organization
PALM HARBOR CHIROPRACTIC AND REHABILITATION CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE NIEHR (BILLING MANAGER)
(727) 786-7574
Entity
Organization
Contact information
Practice address
36081 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1531
(727) 786-7574
(727) 773-0863
Mailing address
36081 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1531
(727) 786-7574
(727) 773-0863
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
CH7842
FL
111NR0400X
Rehabilitation Chiropractor
Primary
CH7842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381350900
—
FL
01
—
53945
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
03/15/2006
Last updated
03/22/2010
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