Healthcare Provider Details

I. General information

NPI: 1497913990
Provider Name (Legal Business Name): BENDER CHIROPRACTIC CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 02/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 INDIAN ROCKS RD N SUITE C
BELLEAIR BLUFFS FL
33770-2000
US

IV. Provider business mailing address

321 INDIAN ROCKS RD N SUITE C
BELLEAIR BLUFFS FL
33770-2000
US

V. Phone/Fax

Practice location:
  • Phone: 727-559-7881
  • Fax: 727-559-7981
Mailing address:
  • Phone: 727-559-7881
  • Fax: 727-559-7981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY JOY HORTON-BENDER
Title or Position: PRESIDENT
Credential: DC
Phone: 727-559-7881