Organization Name: | ROD DAVIS CHIROPRACTIC P A |
NPI Number: | 1477721918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER F DAVIS (OWNER) |
Mailing Address: | 155 E Interlake Blvd Lake Placid |
State: | FL US |
Postal Code: | 338529578 |
Phone Number: | 8636990111 |
Fax Number: | 8636991046 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH0007552 |
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. |