Provider Demographics
NPI:1013628510
Name:CARRION CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CARRION CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-201-8966
Mailing Address - Street 1:1000 VERONA ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5453
Mailing Address - Country:US
Mailing Address - Phone:407-201-8966
Mailing Address - Fax:
Practice Address - Street 1:1000 VERONA ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5453
Practice Address - Country:US
Practice Address - Phone:407-201-8966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty