Healthcare Provider Details

I. General information

NPI: 1386438448
Provider Name (Legal Business Name): FLORIDA FEDERAL DOCTORS & DOL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2025
Last Update Date: 04/05/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12197 W LINEBAUGH AVE
TAMPA FL
33626-1732
US

IV. Provider business mailing address

12197 W LINEBAUGH AVE
TAMPA FL
33626-1732
US

V. Phone/Fax

Practice location:
  • Phone: 813-855-0001
  • Fax: 813-855-0008
Mailing address:
  • Phone: 813-855-0001
  • Fax: 813-855-0008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE ROGERS
Title or Position: MANAGING PARTNER
Credential: DC
Phone: 813-774-5755