Healthcare Provider Details

I. General information

NPI: 1295892982
Provider Name (Legal Business Name): DOUGLAS ARMSTRONG PRICE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 S LAKE SHORE WAY
LAKE ALFRED FL
33850-3332
US

IV. Provider business mailing address

90 W DAVIS BLVD
TAMPA FL
33606-3535
US

V. Phone/Fax

Practice location:
  • Phone: 863-956-8933
  • Fax: 863-956-8942
Mailing address:
  • Phone: 813-849-2459
  • Fax: 813-849-2470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH4488
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: