Provider Demographics
NPI:1992599708
Name:FORZA SENNA
Entity type:Organization
Organization Name:FORZA SENNA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKS-BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-441-5370
Mailing Address - Street 1:1177 KINCROSS CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-6387
Mailing Address - Country:US
Mailing Address - Phone:865-441-5370
Mailing Address - Fax:
Practice Address - Street 1:4320 DEERWOOD LAKE PKWY STE 204
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1181
Practice Address - Country:US
Practice Address - Phone:904-345-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty