Dr. Randall Matulka, DC
Chiropractor in Tampa, FL. Individual provider (NPI-1).
NPI number1730619081
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1730619081
- Entity type
- Individual (NPI-1)
- Name
- Dr. Randall Matulka
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2017
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH12114 | FL | Yes |
Other names
- Randy Matulka (Professional Name)
Practice location
1623 E 4th Ave Unit 106Tampa, FL 33605-5109
Phone 813-248-2900 · Fax 813-248-2933
Mailing address
1623 E 4th Ave Unit 106Tampa, FL 33605-5109
Phone 813-248-2900 · Fax 813-248-2933
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