MEDICARE: DR. KAREN CORCORAN MCGLASHAN D.C.

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	111NN1001X	Nutrition Chiropractor	CH7560	FL

General Provider Information

NPI Number	:	1528270949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN CORCORAN MCGLASHAN D.C.

Provider Business Mailing Address
First Line	:	504 PASADENA AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-2126
Country	:	US
Telephone Number	:	727-456-9504
Fax Number	:	954-566-2037

Provider Business Practice Location Address
First Line	:	504 PASADENA AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-2126
Country	:	US
Telephone Number	:	727-456-9504
Fax Number	:

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

Provider Enumeration Date	:	05/06/2007
Last Update Date	:	08/22/2019

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