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Abundance Chiropractic LLC

Organization Active NPI Chiropractor · Pinellas Park, FL

NPI 1962037978 · NPPES record last updated Mar 10, 2020

Key facts

NPI
1962037978
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
ABUNDANCE CHIROPRACTIC LLC
Practice address
4431 Park Blvd N
Pinellas Park, FL 33781-3540
Phone
(727) 201-2271
NPI assigned
Mar 10, 2020
Organization subpart
No

Authorized official

Name
Dr. Andres Julia Pagan, DC NPI 1952829624
Title
Owner
Phone
(727) 201-2271

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200324001128 FL Part B Supplier - Clinic/Group Practice 8426486580 Receives reassigned benefits from 2 practitioners
Practice locations: Pinellas Park, FL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP		 111N00000X Yes

Addresses

Primary practice location

4431 Park Blvd N
Pinellas Park, FL 33781-3540

Mailing address

4431 Park Blvd N
Pinellas Park, FL 33781-3540
Phone (727) 201-2271

Other providers in Pinellas Park, FL

All providers in Pinellas Park, FL · Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.