Healthcare Provider Details

I. General information

NPI: 1265705396
Provider Name (Legal Business Name): LAROCCA CHIROPRACTIC LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4212 COMMERCIAL WAY
SPRING HILL FL
34606-2325
US

IV. Provider business mailing address

4212 COMMERCIAL WAY
SPRING HILL FL
34606-2325
US

V. Phone/Fax

Practice location:
  • Phone: 352-428-8345
  • Fax:
Mailing address:
  • Phone: 352-428-8345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9716
License Number StateFL

VIII. Authorized Official

Name: DR. CHRISTOPHER JOHN LAROCCA
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 352-428-8345