Provider Demographics
NPI:1790783488
Name:HACHT, CARA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:LYNN
Last Name:HACHT
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 1:8052 OLD COUNTY ROAD 54
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6457
Mailing Address - Country:US
Mailing Address - Phone:727-375-5858
Mailing Address - Fax:727-225-5552
Practice Address - Street 1:8052 OLD COUNTY ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6457
Practice Address - Country:US
Practice Address - Phone:727-375-5858
Practice Address - Fax:727-225-5552
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2019-02-28
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-22
Provider Licenses
StateLicense IDTaxonomies
FLCH0007016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55319ZMedicare PIN
FLU58445Medicare UPIN