Individual provider · Type 1 NPI

Blake W. Squire, DC

Chiropractor · St. Petersburg, FL

NPI number 1073970992 Active

Practice location

5105 Central Ave
St. Petersburg, FL 33710-8140

Call (727) 698-6088 Map

Mailing address

PO Box 735
Parrish, FL 34219-0735

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH 11779 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1073970992

Blake W. Squire, DC's National Provider Identifier is 1073970992, issued on Jan 22, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 22, 2016.