MEDICARE: ROBERT FRANCIS DESAPIO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH8542	FL

General Provider Information

NPI Number	:	1487889549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT FRANCIS DESAPIO DC

Provider Business Mailing Address
First Line	:	1944 W DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6510
Country	:	US
Telephone Number	:	813-374-2333
Fax Number	:	813-374-2334

Provider Business Practice Location Address
First Line	:	1944 W DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6510
Country	:	US
Telephone Number	:	813-374-2333
Fax Number	:	813-374-2334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	05/19/2009

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