Active Family Chiropractic, P.a. | |
11232 W Hillsborough Ave, Tampa, FL 33635-9719 | |
(813) 925-9700 | |
Not Available |
Full Name | Active Family Chiropractic, P.a. |
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Type | Facility |
Speciality | Chiropractor |
Location | 11232 W Hillsborough Ave, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750788337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH10339 (Florida) | Primary |
Provider Name | Jenny Mejia Spicer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629365739 PECOS PAC ID: 3274703558 Enrollment ID: I20110823000975 |
Provider Name | Ashley Candice Sooklal |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205382322 PECOS PAC ID: 1850678459 Enrollment ID: I20170509001516 |
Mailing Address | Practice Location Address |
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Active Family Chiropractic, P.a. 11232 W Hillsborough Ave, Tampa, FL 33635-9719 Ph: (813) 925-9700 | Active Family Chiropractic, P.a. 11232 W Hillsborough Ave, Tampa, FL 33635-9719 Ph: (813) 925-9700 |
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