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Contact Information

1 SOURCE CHIROPRACTIC & PHYSICAL MEDICINE CENTER INC
2718 LETAP CT
LAND O' LAKES, FL34638-7218
 Phone: 813-448-2222
 Fax: 813-948-7111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for 1 SOURCE CHIROPRACTIC PHYSICAL MEDICINE CENTER INC · (Female)

NPI # 1235481524
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2012
Last updated 01/22/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # CH8357
  • FL License # ME114962
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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