Provider Demographics
NPI:1861676918
Name:ANNEMARIE FILISKY LECLAIR, INC
Entity type:Organization
Organization Name:ANNEMARIE FILISKY LECLAIR, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNEMARIE
Authorized Official - Middle Name:FILISKY
Authorized Official - Last Name:LECLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-835-7414
Mailing Address - Street 1:8720 PALISADES DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4924
Mailing Address - Country:US
Mailing Address - Phone:727-422-1451
Mailing Address - Fax:
Practice Address - Street 1:8720 PALISADES DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4924
Practice Address - Country:US
Practice Address - Phone:727-422-1451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381885300FLMedicaid