Healthcare Provider Details

I. General information

NPI: 1235193509
Provider Name (Legal Business Name): DUKES CHIROPRACTIC HEALTH CLINIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 WALDEN WOODS DR
PLANT CITY FL
33566-7172
US

IV. Provider business mailing address

2401 WALDEN WOODS DR
PLANT CITY FL
33566-7172
US

V. Phone/Fax

Practice location:
  • Phone: 813-752-2524
  • Fax: 813-754-4967
Mailing address:
  • Phone: 813-752-2524
  • Fax: 813-754-4967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH4717
License Number StateFL

VIII. Authorized Official

Name: DR. BRENDA KAY DUKES
Title or Position: PRESIDENT
Credential: D.C.
Phone: 813-752-2524