Provider Demographics
NPI:1477077659
Name:FLORIDA HEALTH DOCTORS P.A
Entity Type:Organization
Organization Name:FLORIDA HEALTH DOCTORS P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:GEHRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-620-4257
Mailing Address - Street 1:5590 BROADCAST CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8471
Mailing Address - Country:US
Mailing Address - Phone:941-806-5744
Mailing Address - Fax:941-296-8447
Practice Address - Street 1:5590 BROADCAST CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8471
Practice Address - Country:US
Practice Address - Phone:941-806-5744
Practice Address - Fax:941-296-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11343111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1700123791OtherNPI