Organization · Type 2 NPI
Timothy Douglass DC PA
Chiropractor · Deston, FL
NPI number
1275857385
Active
Practice location
4221 Commons Dr East, Ste B-105
Deston, FL 32541-3483
Fax (850) 650-6790
Mailing address
4421 Commons Dr E, # B-105
Destin, FL 32541-3484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH9683 (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.
About NPI 1275857385
Timothy Douglass DC PA's National Provider Identifier is 1275857385, issued on Mar 18, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Deston, FL. The record was last updated on Nov 3, 2011.