Provider Demographics
NPI:1447603154
Name:OZAKYOL, ADDISON AYDIN
Entity Type:Individual
Prefix:
First Name:ADDISON
Middle Name:AYDIN
Last Name:OZAKYOL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28051 US HIGHWAY 19 N STE 106
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2642
Mailing Address - Country:US
Mailing Address - Phone:727-400-6000
Mailing Address - Fax:727-999-6201
Practice Address - Street 1:28051 US HIGHWAY 19 N STE 106
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2642
Practice Address - Country:US
Practice Address - Phone:727-400-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
FL13417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer