Healthcare Provider Details

I. General information

NPI: 1013221217
Provider Name (Legal Business Name): RODNEY RALSTON ABRAHAMS II D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 09/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N FRANKLIN ST SUITE A
TAMPA FL
33602-5831
US

IV. Provider business mailing address

101 N FRANKLIN ST SUITE A
TAMPA FL
33602-5831
US

V. Phone/Fax

Practice location:
  • Phone: 813-229-2225
  • Fax: 813-221-2225
Mailing address:
  • Phone: 813-229-2225
  • Fax: 813-221-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556778
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4097
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH-10714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: