Provider Demographics
NPI:1316230725
Name:EMJN L.L.C
Entity Type:Organization
Organization Name:EMJN L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:CORPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-892-9667
Mailing Address - Street 1:5034 TORREY HILLS LN
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5704
Mailing Address - Country:US
Mailing Address - Phone:813-892-9667
Mailing Address - Fax:
Practice Address - Street 1:3401 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2713
Practice Address - Country:US
Practice Address - Phone:813-935-8906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9681261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care