MEDICARE: DR. DOUGLAS ARMSTRONG PRICE D.C.

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	CH4488	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70398	OTHER	FL	BCBSF

General Provider Information

NPI Number	:	1295892982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS ARMSTRONG PRICE D.C.

Provider Business Mailing Address
First Line	:	90 W DAVIS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3535
Country	:	US
Telephone Number	:	813-849-2459
Fax Number	:	813-849-2470

Provider Business Practice Location Address
First Line	:	670 S LAKE SHORE WAY
Second Line	:
City	:	LAKE ALFRED
State	:	FL
Zip	:	33850-3332
Country	:	US
Telephone Number	:	863-956-8933
Fax Number	:	863-956-8942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/09/2007

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