Individual provider · Type 1 NPI
Andrew Mark Eliason, DC
Chiropractor · St. Petersburg, FL
NPI number
1669790192
Active
Practice location
6705-B 38th Avenue. N
St. Petersburg, FL 33710
Mailing address
6400 46th Ave N Apt 37
Kenneth City, FL 33709-3153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 10001 (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 1669790192
Andrew Mark Eliason, DC's National Provider Identifier is 1669790192, issued on May 7, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 5, 2012.