Dr. Mylisa L. Epps, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8532 Issued in FL

Legal business name

DR. MYLISA L. EPPS, LLC

Practice address

104 E Fletcher Ave
Suite B
Tampa, FL 33612-3429

Phone

(813) 294-5124

NPI assigned

Mar 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mylisa L. Epps, D.C.

Title

Chiropractor

Phone

(813) 294-5124

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1023332095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E BEARSS AVE",
            "address_2": "#304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131625",
            "telephone_number": "813-294-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E FLETCHER AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123429",
            "telephone_number": "813-294-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MYLISA L. EPPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "MYLISA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "813-294-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tampa, FL
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• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.