Provider Demographics
NPI:1144226663
Name:NOSEWORTHY, STEVEN A (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:NOSEWORTHY
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 1:16614 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1400
Mailing Address - Country:US
Mailing Address - Phone:813-235-0651
Mailing Address - Fax:800-723-3581
Practice Address - Street 1:16614 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-1400
Practice Address - Country:US
Practice Address - Phone:813-235-0651
Practice Address - Fax:800-723-3581
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007468111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU61334Medicare UPIN
FL55704ZMedicare ID - Type UnspecifiedMEDICARE NUMBER