Provider Demographics
NPI:1578017687
Name:FRANCE, TRAVIS JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:JAMES
Last Name:FRANCE
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 1:3117 W COLUMBUS DR STE 206
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1855
Mailing Address - Country:US
Mailing Address - Phone:813-769-9258
Mailing Address - Fax:813-769-9524
Practice Address - Street 1:3117 W COLUMBUS DR STE 206
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1855
Practice Address - Country:US
Practice Address - Phone:813-769-9258
Practice Address - Fax:813-769-9524
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor