Provider Demographics
NPI:1578837829
Name:PLESKOVICH, NICHOLAS CHRISTIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:CHRISTIAN
Last Name:PLESKOVICH
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 1:1027 E NORVELL BRYANT HWY
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:FL
Mailing Address - Zip Code:34442-6500
Mailing Address - Country:US
Mailing Address - Phone:352-419-4872
Mailing Address - Fax:352-419-6502
Practice Address - Street 1:1027 E NORVELL BRYANT HWY
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:FL
Practice Address - Zip Code:34442-6500
Practice Address - Country:US
Practice Address - Phone:352-419-4872
Practice Address - Fax:352-419-6502
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor