Healthcare Provider Details

I. General information

NPI: 1104545755
Provider Name (Legal Business Name): ADRIANNA CHRAMEGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11794 US 301 # 102
DADE CITY FL
33525-6024
US

IV. Provider business mailing address

1211 E KENNEDY BLVD UNIT 737
TAMPA FL
33602-3792
US

V. Phone/Fax

Practice location:
  • Phone: 352-437-3358
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: