Provider Demographics
NPI:1639628324
Name:DAVID W CHOATE DC INC
Entity Type:Organization
Organization Name:DAVID W CHOATE DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHOATE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-712-6278
Mailing Address - Street 1:1828 S FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-2654
Mailing Address - Country:US
Mailing Address - Phone:863-913-1240
Mailing Address - Fax:863-913-1243
Practice Address - Street 1:1828 S FLORIDA AVENUE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2654
Practice Address - Country:US
Practice Address - Phone:863-913-1240
Practice Address - Fax:863-913-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty