Healthcare Provider Details

I. General information

NPI: 1962971341
Provider Name (Legal Business Name): 1ST RESPONSE MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OAKMONT LN APT 103
BELLEAIR FL
33756-1956
US

IV. Provider business mailing address

100 OAKMONT LN APT 103
BELLEAIR FL
33756-1956
US

V. Phone/Fax

Practice location:
  • Phone: 727-460-2853
  • Fax:
Mailing address:
  • Phone: 727-460-2853
  • Fax: 727-533-5873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBORAH ELLEN SPRINGER
Title or Position: PRESIDENT
Credential: DC
Phone: 727-460-2853