MEDICARE: PATTITUDE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	8289	FL

General Provider Information

NPI Number	:	1073905964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATTITUDE INC

Provider Business Mailing Address
First Line	:	8523 W. HILLSBOROUGH AVENUE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615
Country	:	US
Telephone Number	:	813-886-8824
Fax Number	:	813-888-5581

Provider Business Practice Location Address
First Line	:	8523 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3809
Country	:	US
Telephone Number	:	813-888-6882
Fax Number	:	813-888-5581

Authorized Official
Title or Position	:	OWNER CEO
Name	:	DR. PATRICIA COSMELLI
Credential	:	DC
Telephone Number	:	813-886-8824

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	03/02/2015

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Directions to “PATTITUDE INC ” Practice Location

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