Timothy Douglass DC PA

NPI #1275857385 in Deston, Florida

Provider Information

NPI Number: 1275857385
Entity Type: Organization
Organization Name: Timothy Douglass DC PA
Primary Specialty: Chiropractor
Enumeration Date: Mar 18, 2010
Last Updated: Nov 3, 2011

Practice Location

Address: 4221 COMMONS DR EAST
Address 2: STE B-105
City: Deston
State: Florida
ZIP Code: 32541-3483
Phone: (850) 650-6789

Authorized Official

Name: DR. TIMOTHY D DOUGLASS, D.C.
Title: PRESIDENT
Phone: (850) 650-6789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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