Organization · Type 2 NPI

Healthsource of Valrico LLC

Chiropractor · Valrico, FL

NPI number 1104787373 Active

Practice location

1995 E State Road 60
Valrico, FL 33594-3604

Mailing address

11305 NW 55th Ln
Doral, FL 33178-3816

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

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 1104787373

Healthsource of Valrico LLC's National Provider Identifier is 1104787373, issued on Nov 18, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Valrico, FL. The record was last updated on Nov 24, 2025.