Provider Demographics
NPI:1699356956
Name:HYNES, FIONA PRISCILLA LEVANTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:FIONA
Middle Name:PRISCILLA LEVANTINE
Last Name:HYNES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 N LEMANS BLVD UNIT 4401
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1150
Mailing Address - Country:US
Mailing Address - Phone:443-875-8052
Mailing Address - Fax:
Practice Address - Street 1:6220 MANATEE AVE W STE 204
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2361
Practice Address - Country:US
Practice Address - Phone:941-761-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor