Carissa Taylor, DC
Chiropractor, Pediatric Chiropractor in Lithia, FL. Individual provider (NPI-1).
NPI number1982102547
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1982102547
- Entity type
- Individual (NPI-1)
- Name
- Carissa Taylor
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2018
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NP0017X | Chiropractor, Pediatric Chiropractor | CH12397 | FL | Yes |
Practice location
5611 Skytop DrLithia, FL 33547-4165
Phone 813-461-6500
Mailing address
5611 Skytop DrLithia, FL 33547-4165
Phone 813-461-6500 · Fax 813-461-6501
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