Healthcare Provider Details

I. General information

NPI: 1427339993
Provider Name (Legal Business Name): DALTON TRUM HEATH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 W FORT ISLAND TRL STE 11A
CRYSTAL RIVER FL
34429-2415
US

IV. Provider business mailing address

9030 W FORT ISLAND TRL STE 11A
CRYSTAL RIVER FL
34429-2415
US

V. Phone/Fax

Practice location:
  • Phone: 352-794-6181
  • Fax:
Mailing address:
  • Phone: 352-794-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002592A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 11305
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: