Provider Demographics
NPI:1093958027
Name:CHIRO-CARE OF TAMPA BAY, INC.
Entity Type:Organization
Organization Name:CHIRO-CARE OF TAMPA BAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-935-4466
Mailing Address - Street 1:2715 W SLIGH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4343
Mailing Address - Country:US
Mailing Address - Phone:813-935-4466
Mailing Address - Fax:813-935-0088
Practice Address - Street 1:2715 W SLIGH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4343
Practice Address - Country:US
Practice Address - Phone:813-935-4466
Practice Address - Fax:813-935-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center