Provider Demographics
NPI:1871839506
Name:MARKLEY CHIROPRACTIC & ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:MARKLEY CHIROPRACTIC & ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-752-6001
Mailing Address - Street 1:1802 W BAKER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-2912
Mailing Address - Country:US
Mailing Address - Phone:813-752-6001
Mailing Address - Fax:813-754-3162
Practice Address - Street 1:1802 W BAKER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-2912
Practice Address - Country:US
Practice Address - Phone:813-752-6001
Practice Address - Fax:813-754-3162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003652111N00000X
FLCH 8806111N00000X
FLAP1065171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty