Organization · NPI-2

Active Family Chiropractic, P.A.

Chiropractor · Tampa, FL

NPI number1750788337
StatusActive
Last updated in NPPESNov 2, 2020

Details

NPI
1750788337
Entity type
Organization (NPI-2)
Legal business name
Active Family Chiropractic, P.A.
Organization subpart
No
Enumeration date
Nov 26, 2014
Certification date
Nov 2, 2020
Last updated
Nov 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH10339FLYes

Practice location

11232 W Hillsborough Ave
Tampa, FL 33635-9719

Phone 813-925-9700

Mailing address

11232 W Hillsborough Ave
Tampa, FL 33635-9719

Phone 813-925-9700

Authorized official

Jenny Mejia Spicer
Chiropractor/Owner
8139259700

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