Provider Demographics
NPI:1235402876
Name:KARASICK, JERRY N (DC)
Entity Type:Individual
Prefix:
First Name:JERRY
Middle Name:N
Last Name:KARASICK
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 1:901 N. HERCULES AVE
Mailing Address - Street 2:STE D
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765
Mailing Address - Country:US
Mailing Address - Phone:727-443-4377
Mailing Address - Fax:727-443-4799
Practice Address - Street 1:901 N. HERCULES AVE
Practice Address - Street 2:STE C
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765
Practice Address - Country:US
Practice Address - Phone:727-442-5569
Practice Address - Fax:727-447-7136
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor