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NPI Code Detail

MEDICARE: DR. BRUCE DONALD HORCHAK D.C.

MEDICARE:  DR. BRUCE DONALD HORCHAK  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
1111N00000XChiropractorCH0006486FL

General Provider Information

NPI Number : 1467411686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE DONALD HORCHAK D.C.
Provider Business Mailing Address
First Line : 14855 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33618-2027
Country : US
Telephone Number : 813-960-8447
Fax Number : 813-960-8416
Provider Business Practice Location Address
First Line : 14855 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33618-2027
Country : US
Telephone Number : 813-960-8447
Fax Number : 813-960-8416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BRUCE DONALD HORCHAK D.C.” Practice Location

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