Provider Demographics
NPI:1760968358
Name:BRITT, PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:BRITT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4657 GULF BREEZE PKWY UNIT AB
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-9166
Mailing Address - Country:US
Mailing Address - Phone:850-991-6930
Mailing Address - Fax:508-916-9306
Practice Address - Street 1:4657 GULF BREEZE PKWY UNIT AB
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-9166
Practice Address - Country:US
Practice Address - Phone:850-916-9304
Practice Address - Fax:850-916-9306
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13864OtherTEXAS BOARD OF CHIROPRACTIC