Healthcare Provider Details

I. General information

NPI: 1548581143
Provider Name (Legal Business Name): CDM CHIROS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 BRUCE B DOWNS BLVD
WESLEY CHAPEL FL
33544-9261
US

IV. Provider business mailing address

1283 BRUCE B DOWNS BLVD
WESLEY CHAPEL FL
33544-9261
US

V. Phone/Fax

Practice location:
  • Phone: 813-994-6111
  • Fax: 813-991-5574
Mailing address:
  • Phone: 813-994-6111
  • Fax: 813-991-5574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHC7580
License Number StateFL

VIII. Authorized Official

Name: DR. WILLIAM E SCHEU
Title or Position: PROVIDER
Credential: D.C.
Phone: 813-994-6111