Provider Demographics
NPI:1578886396
Name:PHYSICAL HEALTH CARE ADVISORS, PLLC
Entity Type:Organization
Organization Name:PHYSICAL HEALTH CARE ADVISORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:K
Authorized Official - Last Name:GROTEKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-797-0500
Mailing Address - Street 1:3001 EASTLAND BLVD
Mailing Address - Street 2:BUILDING G, SUITE 2
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-4104
Mailing Address - Country:US
Mailing Address - Phone:727-797-0500
Mailing Address - Fax:727-797-0050
Practice Address - Street 1:3001 EASTLAND BLVD
Practice Address - Street 2:BUILDING G, SUITE 2
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-4104
Practice Address - Country:US
Practice Address - Phone:727-797-0500
Practice Address - Fax:727-797-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL656080OtherUNITED HEALTH CARE
FL9067913OtherCIGNA
FL1038157OtherAM ERICAN SPECIALTY HEALTH
FL1147626OtherFIRST HEALTH
FL71494OtherBLUE CROSS BLUE SHIELF OF FL
FL=========OtherEVOLUTIONS
FL656080OtherUNITED HEALTH CARE