Provider Demographics
NPI:1518082783
Name:DENNIS M. KURYLIW, D.C., P.A.
Entity Type:Organization
Organization Name:DENNIS M. KURYLIW, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KURYLIW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-863-7502
Mailing Address - Street 1:11004 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-2516
Mailing Address - Country:US
Mailing Address - Phone:727-863-7502
Mailing Address - Fax:727-819-0099
Practice Address - Street 1:11004 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-2516
Practice Address - Country:US
Practice Address - Phone:727-863-7502
Practice Address - Fax:727-819-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88376ZMedicare ID - Type Unspecified
FLT84683Medicare UPIN