CG1 CHIROPRACTIC CLINIC INC. NPI 1861685125

NPI Information

  • NPI: 1861685125
  • Provider Name: CG1 CHIROPRACTIC CLINIC, INC.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 16102 N FLORIDA AVE
    LUTZ, FL
    ZIP 33549
  • Phone: (813) 909-7171

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NPI Details

CG1 CHIROPRACTIC CLINIC, INC. is a chiropractor in Lutz, 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. CG1 CHIROPRACTIC CLINIC, INC. NPI is 1861685125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16102 N FLORIDA AVE
LUTZ, FL
ZIP 33549-129
Phone: (813) 909-7171

The provider's authorized official is Dominador Reyno Uy .
The authorized official title is Chiropractic Physician and has the following contact phone number (813) 909-7171.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 9/21/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH8278FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V05423MEDICARE UPINFLORIDA
2K7765MEDICARE PIN

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: 11/21/2025

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