Provider Demographics
NPI:1013293869
Name:STRONGLIFE CHIROPRACTIC & NATURAL HEALTH, P.A.
Entity Type:Organization
Organization Name:STRONGLIFE CHIROPRACTIC & NATURAL HEALTH, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-655-5433
Mailing Address - Street 1:5618 FISHHAWK CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-5900
Mailing Address - Country:US
Mailing Address - Phone:813-655-5433
Mailing Address - Fax:813-655-5488
Practice Address - Street 1:5618 FISHHAWK CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-5900
Practice Address - Country:US
Practice Address - Phone:813-655-5433
Practice Address - Fax:813-655-5488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9598111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty