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LIGHT AND LIFE CHIROPRACTIC CENTER LLC NPI 1396906475


NPI Information

NPI: 1396906475
Provider Name: LIGHT AND LIFE CHIROPRACTIC CENTER, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1452 OAKFIELD DR
BRANDON, FL
ZIP 33511
Phone: (813) 409-3888
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LIGHT AND LIFE CHIROPRACTIC CENTER, LLC is a chiropractor in Brandon, FL. The provider is 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. LIGHT AND LIFE CHIROPRACTIC CENTER, LLC NPI is 1396906475. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1452 OAKFIELD DR
BRANDON, FL
ZIP 33511-853
Phone: (813) 409-3888
Fax: (813) 409-3887

The provider's authorized official is Linda P Rich-consiglio .
The authorized official title is Owner and has the following contact phone number (813) 951-4023.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 2/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH6725FLORIDANo
2111N00000XChiropractorCH6093FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U33750MEDICARE UPINFLORIDA
2U22997MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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