Provider Demographics
NPI:1922303627
Name:VERITY HEALTH CENTER
Entity Type:Organization
Organization Name:VERITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:MONTILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:850-320-6158
Mailing Address - Street 1:6668 THOMASVILLE RD STE 14
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3836
Mailing Address - Country:US
Mailing Address - Phone:850-320-6158
Mailing Address - Fax:
Practice Address - Street 1:6668 THOMASVILLE RD STE 14
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-3836
Practice Address - Country:US
Practice Address - Phone:850-320-6158
Practice Address - Fax:850-320-6159
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VERITY HEALTH CENER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-11
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty