Healthcare Provider Details

I. General information

NPI: 1932629771
Provider Name (Legal Business Name): GALLOWAY CHIROPRACTIC AND HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 S FALKENBURG RD
TAMPA FL
33619-8026
US

IV. Provider business mailing address

322 S FALKENBURG RD
TAMPA FL
33619-8026
US

V. Phone/Fax

Practice location:
  • Phone: 813-626-2311
  • Fax:
Mailing address:
  • Phone: 813-626-2311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10661
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT GALLOWAY
Title or Position: OWNER
Credential: DC
Phone: 813-626-2311