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BALLISTREA FAMILY CHIROPRACTIC LLC NPI 1760780043


NPI Information

NPI: 1760780043
Provider Name: BALLISTREA FAMILY CHIROPRACTIC LLC
Classification: Chiropractor - 111NI0013X
Entity Type: Organization

Specialization: Independent Medical Examiner

Address:
7236 STATE ROAD 52
SUITE 3
BAYONET POINT, FL
ZIP 34667
Phone: (727) 868-4444
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BALLISTREA FAMILY CHIROPRACTIC LLC is an independent medical examiner chiropractor in Bayonet Point, FL. The provider is a chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. BALLISTREA FAMILY CHIROPRACTIC LLC NPI is 1760780043. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7236 STATE ROAD 52
SUITE 3
BAYONET POINT, FL
ZIP 34667-749
Phone: (727) 868-4444
Fax: (727) 868-2892

The provider's authorized official is Stephen A Ballistrea .
The authorized official title is Owner and has the following contact phone number (727) 868-4444.

The enumeration date for this NPI number is 3/10/2011 and was last updated on 3/10/2011.


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
1111NI0013XChiropractorIndependent Medical ExaminerCH8075FLORIDAYes

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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