Old Tarpon Chiropractic PA

NPI #1972812642 in Holiday, Florida

Provider Information

NPI Number: 1972812642
Entity Type: Organization
Organization Name: Old Tarpon Chiropractic PA
Primary Specialty: Chiropractor
Enumeration Date: Sep 29, 2010
Last Updated: Sep 29, 2010

Practice Location

Address: 4630 DARLINGTON RD
City: Holiday
State: Florida
ZIP Code: 34690-3906
Phone: (727) 942-1618

Authorized Official

Name: DR. ALTON J GUSTAFSON, D C
Title: PRESIDENT
Phone: (727) 942-1618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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