Organization Name: | TAMPA SPINE & WELLNESS LLC |
NPI Number: | 1780007039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SETH MICHAEL LOTT (PRES/OWNER) |
Mailing Address: | 8575 Montravail Cir Apt 731 Temple Terrace |
State: | FL US |
Postal Code: | 336373036 |
Phone Number: | 3522127571 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH10095 |
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. |