Healthcare Provider Details

I. General information

NPI: 1720412653
Provider Name (Legal Business Name): BC HEALTHCARE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 05/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 MAIN ST
NEW PORT RICHEY FL
34652-2510
US

IV. Provider business mailing address

5303 MAIN ST
NEW PORT RICHEY FL
34652-2510
US

V. Phone/Fax

Practice location:
  • Phone: 727-424-6940
  • Fax: 727-484-6942
Mailing address:
  • Phone: 727-484-6940
  • Fax: 727-484-6942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN C CARLTON
Title or Position: OWNER
Credential: DC
Phone: 727-484-6940