Healthcare Provider Details

I. General information

NPI: 1306944699
Provider Name (Legal Business Name): DAVID B HUFFMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S MACDILL AVE
TAMPA FL
33609-3038
US

IV. Provider business mailing address

501 S MACDILL AVE
TAMPA FL
33609-3038
US

V. Phone/Fax

Practice location:
  • Phone: 813-876-2529
  • Fax: 813-870-1653
Mailing address:
  • Phone: 813-876-2529
  • Fax: 813-870-1653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0002604
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: