Tampa Bay Wellness Alliance LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5547 Issued in FL

Legal business name

TAMPA BAY WELLNESS ALLIANCE LLC

Practice address

9375 US Highway 19 N
Suite a
Pinellas Park, FL 33782-5419

Phone

(727) 323-4507

Fax

(727) 323-1697

NPI assigned

Aug 10, 2011

Last updated

Aug 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adrienne Hall, DC

Title

Manager

Phone

(727) 323-4507

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1124307921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 US HIGHWAY 19 N",
            "address_2": "SUITE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825419",
            "telephone_number": "727-323-4507",
            "fax_number": "727-323-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 US HIGHWAY 19 N",
            "address_2": "SUITE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825419",
            "telephone_number": "727-323-4507",
            "fax_number": "727-323-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY WELLNESS ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-323-4507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "CH5547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Imaging LLC
• Tampa Bay Orthopaedic Specialists
• Tampa Bay Orthopaedic Specialists
• Tampa Bay Specialty Surgery Center LLC (Tampa Bay Specialty Surgery Center)
• Tampa Bay Surgical LLC
• Tampa General Medical Group Inc (TGMG Pinellas Park)
• Neelam Taneja Uppal, MD
• Linda Tang, LPN
• Brian Tapley, PHARMD
• Heather Tarrant

• Chiropractor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.