Provider Demographics
NPI:1124596903
Name:PREFERRED INJURY PHYSICIANS OF WESLEY CHAPEL
Entity Type:Organization
Organization Name:PREFERRED INJURY PHYSICIANS OF WESLEY CHAPEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-785-5958
Mailing Address - Street 1:1355 OAKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4841
Mailing Address - Country:US
Mailing Address - Phone:813-900-7246
Mailing Address - Fax:
Practice Address - Street 1:3743 MARYWEATHER LN
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7718
Practice Address - Country:US
Practice Address - Phone:813-900-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty