Individual provider · Type 1 NPI
Tiffany Edwall, DC
Chiropractor · Tampa, FL
NPI number
1124314026
Active
Practice location
4247 W Kennedy Blvd
Tampa, FL 33609-2230
Fax (813) 289-5565
Mailing address
4800 4th St N
St. Petersburg, FL 33703-3817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH 100055 (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 1124314026
Tiffany Edwall, DC's National Provider Identifier is 1124314026, issued on Jun 20, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tampa, FL. The record was last updated on Aug 9, 2016.