Provider Demographics
NPI:1184700015
Name:SCHWEITZER, GREGORY (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2288 DREW ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3307
Mailing Address - Country:US
Mailing Address - Phone:727-791-1212
Mailing Address - Fax:727-791-6666
Practice Address - Street 1:2288 DREW ST
Practice Address - Street 2:SUITE E
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3307
Practice Address - Country:US
Practice Address - Phone:727-791-1212
Practice Address - Fax:727-791-6666
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor