Healthcare Provider Details

I. General information

NPI: 1265025001
Provider Name (Legal Business Name): FEDERAL INJURY TREATMENT CENTER OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 CURLEW RD STE 7E
DUNEDIN FL
34698-9332
US

IV. Provider business mailing address

2323 CURLEW RD STE 7E
DUNEDIN FL
34698-9332
US

V. Phone/Fax

Practice location:
  • Phone: 727-600-8024
  • Fax:
Mailing address:
  • Phone: 727-600-8024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAYUR RESHAMWALA
Title or Position: OWNER
Credential: DC
Phone: 727-282-3654