MEDICARE: CHRISTOPHER P. DEMARIA, D.C., P.A.

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	CH6779	FL

General Provider Information

NPI Number	:	1205017829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER P. DEMARIA, D.C., P.A.

Provider Business Mailing Address
First Line	:	104 E FLETCHER AVE STE B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3429
Country	:	US
Telephone Number	:	813-960-2101
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 E FLETCHER AVE STE B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3429
Country	:	US
Telephone Number	:	813-960-2101
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN J KOMSKY
Credential	:	D.C.
Telephone Number	:	813-960-2101

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	11/26/2007

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