Provider Demographics
NPI:1356967202
Name:FORRESTER, BRITTANY LISA (DC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LISA
Last Name:FORRESTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 HAMPSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7275
Mailing Address - Country:US
Mailing Address - Phone:229-343-4801
Mailing Address - Fax:
Practice Address - Street 1:2000 N ALAFAYA TRL STE 600
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4741
Practice Address - Country:US
Practice Address - Phone:855-955-9727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12528111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology