Healthcare Provider Details

I. General information

NPI: 1316156813
Provider Name (Legal Business Name): CARROLLWOOD FAMILY MEDICAL AND REHABILITATION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13301 ORANGE GROVE DR
TAMPA FL
33618-2915
US

IV. Provider business mailing address

13301 ORANGE GROVE DR
TAMPA FL
33618-2915
US

V. Phone/Fax

Practice location:
  • Phone: 813-960-8866
  • Fax: 813-961-8384
Mailing address:
  • Phone: 813-960-8866
  • Fax: 813-961-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: BARRY D SHAPIRO,D.C.,P.A.
Title or Position: CLINIC DIRECTOR
Credential:
Phone: 813-960-8866