Provider Demographics
NPI:1942478458
Name:STELLER LIFE CARE, INC.
Entity Type:Organization
Organization Name:STELLER LIFE CARE, INC.
Other - Org Name:SPINAL CORRECTION CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-734-7611
Mailing Address - Street 1:PO BOX 2721
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34697-2721
Mailing Address - Country:US
Mailing Address - Phone:727-734-7611
Mailing Address - Fax:727-736-1124
Practice Address - Street 1:515 MISSOURI AVE N
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1534
Practice Address - Country:US
Practice Address - Phone:727-587-6667
Practice Address - Fax:727-587-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty