Provider Demographics
NPI:1093932832
Name:FLYNN, DELLA ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:DELLA
Middle Name:ELIZABETH
Last Name:FLYNN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 SANDRA DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-4772
Mailing Address - Country:US
Mailing Address - Phone:941-356-4032
Mailing Address - Fax:727-812-8809
Practice Address - Street 1:4625 E BAY DR
Practice Address - Street 2:STE 212
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-5738
Practice Address - Country:US
Practice Address - Phone:727-531-1130
Practice Address - Fax:727-531-0679
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor