MEDICARE: OVERLEA-FULLERTON CHIROPRACTIC CENTER PC

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	CH006174	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	271773	OTHER	FL	WELLCARE PRVD#
2	89273	OTHER	FL	BCBS PRVD#
3	295986	OTHER	FL	AVMED PRVD#
4	593466707	OTHER	FL	CHIRO ALLIANCE #
5	CH006174	OTHER	FL	STATE LICENSE #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780801761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OVERLEA-FULLERTON CHIROPRACTIC CENTER PC

Provider Business Mailing Address
First Line	:	5317 VILLAGE MARKET DRIVE
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544
Country	:	US
Telephone Number	:	813-994-6008
Fax Number	:	813-994-3063

Provider Business Practice Location Address
First Line	:	5317 VILLAGE MARKET DRIVE
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544
Country	:	US
Telephone Number	:	813-994-6008
Fax Number	:	813-994-3063

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	BRIAN J AUGUSTINE
Credential	:
Telephone Number	:	813-994-6008

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	10/20/2010

Similar Medicare Providers

1104016633 — DR. DEBORAH KNUDSON MD
Practice Location Address:

3848 FLATIRON LOOP UNIT 102
WESLEY CHAPEL, FL
33544-7825

Practice Phone: 857-201-0228
Practice Fax:

1073458758 — STACEY BUCHANAN
Practice Location Address:

2389 OAK MYRTLE LN
WESLEY CHAPEL, FL
33544-6328

Practice Phone: 813-862-3743
Practice Fax:

1902741085 — ANEESA GRANT-HUTCHINSON
Practice Location Address:

2640 CYPRESS RIDGE BLVD STE 101
WESLEY CHAPEL, FL
33544-6318

Practice Phone: 877-823-4283
Practice Fax:

1336832773 — SHEFALI LAWRENCE
Practice Location Address:

5312 WINDINGBROOK TRL
WESLEY CHAPEL, FL
33544-1831

Practice Phone: 570-309-5982
Practice Fax:

1962348938 — A L COUNSELING, INC.
Practice Location Address:

2406 CYPRESS GLEN DR STE 101
WESLEY CHAPEL, FL
33544-4609

Practice Phone: 814-743-4086
Practice Fax: 813-336-8435

1376946103 — CARYN ALEO FNP-BC
Practice Location Address:

2229 MARSH VIEW DR UNIT 103
WESLEY CHAPEL, FL
33544-4718

Practice Phone: 813-536-9455
Practice Fax:

1013853951 — TOOTH TROOP DENTAL GROUP PLLC
Practice Location Address:

2541 WINDGUARD CIR
WESLEY CHAPEL, FL
33544-7349

Practice Phone: 407-259-1161
Practice Fax: 813-768-0583

Directions to “OVERLEA-FULLERTON CHIROPRACTIC CENTER PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.