Organization
DR. SEAN L. PRICE, PA
Active
Other names
Gulf Coast Chiropractic and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN LEE PRICE DC (PRESIDENT/OWNER)
(850) 862-2224
Entity
Organization
Contact information
Practice address
745C BEAL PKWY NW, SUITE 2, FORT WALTON BEACH, FL 32547-3093
(850) 862-2224
(850) 862-2204
Mailing address
745C BEAL PKWY NW, SUITE 2, FORT WALTON BEACH, FL 32547-3093
(850) 862-2224
(850) 862-2204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89671
BLUE CROSS BLUE SHIELD
FL
01
—
89671Z
MEDICARE ID TYPE UNSPECIF
FL
Enumeration date
11/07/2007
Last updated
11/07/2007
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