Provider Demographics
NPI:1548793227
Name:GROCH, ADAM SCIARRINO (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:SCIARRINO
Last Name:GROCH
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 1:10910 E STATE ROAD 70
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-8406
Mailing Address - Country:US
Mailing Address - Phone:941-799-7207
Mailing Address - Fax:
Practice Address - Street 1:10910 E STATE ROAD 70
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-8406
Practice Address - Country:US
Practice Address - Phone:941-799-7207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor