Healthcare Provider Details
I. General information
NPI: 1982533949
Provider Name (Legal Business Name): DEURIARTE CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1813 DAVIDSON AVE
THE VILLAGES FL
32162-1645
US
IV. Provider business mailing address
1813 DAVIDSON AVE
THE VILLAGES FL
32162-1645
US
V. Phone/Fax
- Phone: 913-220-5484
- Fax:
- Phone: 913-220-5484
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
URIARTE
Title or Position: PRESIDENT
Credential: DC
Phone: 913-220-5484