Organization · NPI-2

1spine Chiropractic And Rehabilitation Oldsmar

Chiropractor, Rehabilitation · Oldsmar, FL

NPI number1477826840
StatusActive
Last updated in NPPESFeb 16, 2012

Details

NPI
1477826840
Entity type
Organization (NPI-2)
Legal business name
1spine Chiropractic And Rehabilitation Oldsmar
Organization subpart
No
Enumeration date
Feb 16, 2012
Last updated
Feb 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NR0400X Chiropractor, RehabilitationCH8383FLYes

Practice location

3687 Tampa Rd
Suite 202
Oldsmar, FL 34677-6307

Phone 813-220-0680

Mailing address

3687 Tampa Rd
Suite 202
Oldsmar, FL 34677-6307

Phone 813-220-0680

Authorized official

Noah Richard Daniel
Chiropractic Physician
8132200680

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