MEDICARE: ADDISON AYDIN OZAKYOL

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	2255A2300X	Athletic Trainer
2	111N00000X	Chiropractor	13417	FL

General Provider Information

NPI Number	:	1447603154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADDISON AYDIN OZAKYOL

Provider Business Mailing Address
First Line	:	28051 US HIGHWAY 19 N STE 106
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2642
Country	:	US
Telephone Number	:	727-400-6000
Fax Number	:	727-999-6201

Provider Business Practice Location Address
First Line	:	28051 US HIGHWAY 19 N STE 106
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2642
Country	:	US
Telephone Number	:	727-400-6000
Fax Number	:

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

Provider Enumeration Date	:	07/18/2016
Last Update Date	:	02/10/2021

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Directions to “ ADDISON AYDIN OZAKYOL ” Practice Location

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