Provider Demographics
NPI:1366864944
Name:G&S CHIROPRACTIC AND REHAB
Entity Type:Organization
Organization Name:G&S CHIROPRACTIC AND REHAB
Other - Org Name:HEALTHSOURCE OF TARPON SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KONSTANTINOS
Authorized Official - Middle Name:
Authorized Official - Last Name:GALOUZIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-934-7246
Mailing Address - Street 1:29 N PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3435
Mailing Address - Country:US
Mailing Address - Phone:727-934-7246
Mailing Address - Fax:727-934-7245
Practice Address - Street 1:29 N PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3435
Practice Address - Country:US
Practice Address - Phone:727-934-7246
Practice Address - Fax:727-934-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty