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Dr. Peter J Wakeman, DC
Chiropractor in Daytona Beach, Florida
NPI 1669458600

Peter J Wakeman is a Chiropractor based in Daytona Beach, FL. Peter J Wakeman practices in Daytona Beach, FL and has the professional credentials of DC. The NPI Number for Peter J Wakeman is 1669458600 and holds a License No. CH5831 (Florida).

The current practice location address for Peter J Wakeman is 305 Memorial Medical Pkwy Ste 305, Daytona Beach, FL and can be reached out via phone at 386-673-0201 and via fax at 386-677-8143.

Location: 305 Memorial Medical Pkwy Ste 305, Daytona Beach, FL, 32117-5169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669458600
Provider Name
Peter J Wakeman
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
305 Memorial Medical Pkwy Ste 305, Daytona Beach, FL, 32117-5169
Phone Number
386-673-0201
Fax Number
386-677-8143
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22266 01 FL BCBS
050602800 05 FL
P00103322 01 FL RAILROAD MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
305 Memorial Medical Pkwy Ste 305
City
Daytona Beach
State
Florida
Zip
32117-5169
Phone Number
386-673-0201
Fax Number
386-677-8143
person
Provider Business Mailing Address Details
Address
305 Memorial Medical Pkwy Ste 305
City
Daytona Beach
State
Florida
Zip
32117-5169
Phone Number
386-673-0201
Fax Number
386-677-8143
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH5831 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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