Healthcare Provider Details

I. General information

NPI: 1780686451
Provider Name (Legal Business Name): NORTH FLORIDA CHIROPRACTIC CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 06/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 SW 7TH TER
GAINESVILLE FL
32601-6458
US

IV. Provider business mailing address

305 SW 7TH TER
GAINESVILLE FL
32601-6458
US

V. Phone/Fax

Practice location:
  • Phone: 352-375-3668
  • Fax: 352-375-8416
Mailing address:
  • Phone: 352-375-3668
  • Fax: 352-375-8416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MICHAEL THOMAS LIUZZO
Title or Position: OWNER/OPERATOR
Credential: D.C.
Phone: 352-375-3668