Provider Demographics
NPI:1477689800
Name:DARROW FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:DARROW FAMILY CHIROPRACTIC
Other - Org Name:DARROW TOTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLNG
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-331-4040
Mailing Address - Street 1:999 DOUGLAS AVE
Mailing Address - Street 2:SUITE 3328
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2064
Mailing Address - Country:US
Mailing Address - Phone:407-331-4040
Mailing Address - Fax:407-331-9696
Practice Address - Street 1:999 DOUGLAS AVE
Practice Address - Street 2:SUITE 3328
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2064
Practice Address - Country:US
Practice Address - Phone:407-331-4040
Practice Address - Fax:407-331-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH00005673111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22074OtherFLORIDA BLUE CROSS BLUE S
FL=========OtherTAX ID
FL22074OtherFLORIDA BLUE CROSS BLUE S