Provider Demographics
NPI:1033183207
Name:DASO, RICK LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:LEE
Last Name:DASO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12020 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-2805
Mailing Address - Country:US
Mailing Address - Phone:727-595-2273
Mailing Address - Fax:727-584-3832
Practice Address - Street 1:12020 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-2805
Practice Address - Country:US
Practice Address - Phone:727-595-2273
Practice Address - Fax:727-584-3832
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH005247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380974900Medicaid
FL70837Medicare ID - Type Unspecified
T84534Medicare UPIN