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Spine of Life Upper Cervical Chiropractic

NPI 1700666047ActiveOrganization· Chiropractor· St Augustine, FL

Chiropractor in St Augustine, Florida, registered in NPPES in October 2023. The authorized official on file is Kevin Pecca, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1700666047
StatusActive
Entity typeOrganization
NPI issuedOct 4, 2023
Last updated in NPPESOct 4, 2023
Certified by providerOct 4, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

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