Active NPI
Carrollwood Family Chiropractic LLC
- Chiropractor
- Tampa, FL
National Provider Identifier
1881010684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10496
- Legal business name
- CARROLLWOOD FAMILY CHIROPRACTIC LLC
- Practice address
- 3602 Madaca LN
Tampa, FL 33618-2057 - Phone
- (727) 409-1416
- NPI assigned
- Mar 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suzanne Eileen Demers, DC
- Title
- Owner
- Phone
- (727) 409-1416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10496 | FL | Primary |
Addresses
Primary practice location
3602 Madaca LN
Tampa, FL 33618-2057
Mailing address
3602 Madaca LN
Tampa, FL 33618-2057
Phone (727) 409-1416
National Provider Directory
National Provider DirectoryLocations
3602 Madaca Ln
Tampa, FL 33618
Phone (813) 217-3539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1881010684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182057",
"telephone_number": "727-409-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182057",
"telephone_number": "727-409-1416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLLWOOD FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A",
"authorized_official_last_name": "DEMERS",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "EILEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-409-1416",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Lorin A Carroll, APRN
- Owen Carroll, PA-C
- Carrollwood Assisted Living, Operations, LTD.
- Carrollwood Diagnostic Imaging
- Carrollwood Emergency Physicians PA
- Carrollwood Family Medical and Rehabilitation Center, Inc.
- Carrollwood Massage Therapy
- Carrollwood Medical Group, LLC.
- Carrollwood Operations, LLC
- Carrollwood Rehabilitation Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.