Provider Demographics
NPI:1679605307
Name:GEORGE W TAUSSIG DC PA
Entity Type:Organization
Organization Name:GEORGE W TAUSSIG DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:WASHINGTON
Authorized Official - Last Name:TAUSSIG
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:407-862-2220
Mailing Address - Street 1:163 E LAKE BRANTLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779
Mailing Address - Country:US
Mailing Address - Phone:407-862-2220
Mailing Address - Fax:407-862-4330
Practice Address - Street 1:163 E LAKE BRANTLEY DRIVE
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779
Practice Address - Country:US
Practice Address - Phone:407-862-2220
Practice Address - Fax:407-862-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH00006870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========Medicare UPIN