Organization Name: | KEITH W. FADY,D.C.P.A. |
NPI Number: | 1154631570 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH WILLIAM FADY (PRESIDENT) |
Mailing Address: | 14100 Walsingham Rd Suite 35 Largo |
State: | FL US |
Postal Code: | 337743248 |
Phone Number: | 7275961885 |
Fax Number: | 7275962434 |
NPI Enumeration Date: | 10/19/2010 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |