Provider Demographics
NPI:1235004912
Name:LOPEZ TARDI, DAVIDLEE (DC)
Entity type:Individual
Prefix:
First Name:DAVIDLEE
Middle Name:
Last Name:LOPEZ TARDI
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 1:10066 TAY CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-2656
Mailing Address - Country:US
Mailing Address - Phone:787-232-5474
Mailing Address - Fax:
Practice Address - Street 1:10066 TAY CT
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-2656
Practice Address - Country:US
Practice Address - Phone:787-232-5474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor