Provider Demographics
NPI:1396002663
Name:DIXON, AARON DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:DAVID
Last Name:DIXON
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 1:14916 CASEY RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2317
Mailing Address - Country:US
Mailing Address - Phone:813-644-3455
Mailing Address - Fax:
Practice Address - Street 1:14916 CASEY RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2317
Practice Address - Country:US
Practice Address - Phone:813-644-3455
Practice Address - Fax:813-374-9542
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor