=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770763757
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DENISE E ORAZI DC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2007
-----------------------------------------------------
Last Update Date | 05/04/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2273 BEACON DR
-----------------------------------------------------
City | PORT CHARLOTTE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33952-5664
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-456-8547
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 380971
-----------------------------------------------------
City | MURDOCK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33938-0971
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-456-8547
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH7171
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------