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ACTIVE CHIROPRACTIC LLC NPI 1558880849


NPI Information

NPI: 1558880849
Provider Name: ACTIVE CHIROPRACTIC, LLC

Doing Business As: COUNTRYSIDE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
28467 US HIGHWAY 19 N STE 302
CLEARWATER, FL
ZIP 33761
Phone: (727) 216-6929
Get Directions

ACTIVE CHIROPRACTIC, LLC is a chiropractor in Clearwater, 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. ACTIVE CHIROPRACTIC, LLC NPI is 1558880849. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Countryside Chiropractic.

The provider's business location address is:

28467 US HIGHWAY 19 N STE 302
CLEARWATER, FL
ZIP 33761-333
Phone: (727) 216-6929
Fax: (727) 216-6930

The provider's authorized official is Maria A Young .
The authorized official title is Owner and has the following contact phone number (727) 216-6929.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 9/18/2017.


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
1111N00000XChiropractorCH9770FLORIDAYes
2111N00000XChiropractorCH10813FLORIDANo

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: 11/14/2023

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