Healthcare Provider Details

I. General information

NPI: 1306560958
Provider Name (Legal Business Name): DOUGLAS AARON DAY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 GULFPORT BLVD S
GULFPORT FL
33707-4947
US

IV. Provider business mailing address

5301 GULFPORT BLVD S
GULFPORT FL
33707-4947
US

V. Phone/Fax

Practice location:
  • Phone: 717-321-9520
  • Fax: 727-321-9520
Mailing address:
  • Phone: 727-321-9520
  • Fax: 717-321-9520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberD-05197
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: