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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