Provider Demographics
NPI:1508368713
Name:INJURY CENTERS OF TENNESSEE LLC
Entity Type:Organization
Organization Name:INJURY CENTERS OF TENNESSEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZZOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-578-8080
Mailing Address - Street 1:725 N HIGHWAY A1A STE C112
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4565
Mailing Address - Country:US
Mailing Address - Phone:561-578-8080
Mailing Address - Fax:973-755-0309
Practice Address - Street 1:725 N HIGHWAY A1A STE C112
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4565
Practice Address - Country:US
Practice Address - Phone:561-578-8080
Practice Address - Fax:973-755-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-03
Last Update Date:2018-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty