Provider Demographics
NPI:1477788917
Name:POLLEY, CHAD FRANKLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:FRANKLIN
Last Name:POLLEY
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 1:166 E BLOOMINGDALE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4801
Mailing Address - Country:US
Mailing Address - Phone:813-654-7121
Mailing Address - Fax:813-200-3986
Practice Address - Street 1:166 E BLOOMINGDALE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8101
Practice Address - Country:US
Practice Address - Phone:813-654-7121
Practice Address - Fax:813-200-3986
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor