Healthcare Provider Details

I. General information

NPI: 1508953183
Provider Name (Legal Business Name): ROSEWOOD CHIROPRACTIC CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 ASHLEY OAKS CIR
WESLEY CHAPEL FL
33543-7023
US

IV. Provider business mailing address

2142 ASHLEY OAKS CIR
WESLEY CHAPEL FL
33543-7023
US

V. Phone/Fax

Practice location:
  • Phone: 813-991-5450
  • Fax: 813-991-5493
Mailing address:
  • Phone: 813-991-5450
  • Fax: 813-991-5493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0004163
License Number StateFL

VIII. Authorized Official

Name: DR. SHERYL A. BALLINGER
Title or Position: OWNER
Credential: D.C.
Phone: 813-991-5450