Provider Demographics
NPI:1811438591
Name:MANE, JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MANE
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 1:1602 W SLIGH AVE
Mailing Address - Street 2:SUITE # 500
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5893
Mailing Address - Country:US
Mailing Address - Phone:813-935-4744
Mailing Address - Fax:813-931-1427
Practice Address - Street 1:1602 W SLIGH AVE
Practice Address - Street 2:SUITE # 500
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5893
Practice Address - Country:US
Practice Address - Phone:813-935-4744
Practice Address - Fax:813-931-1427
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor