MEDICARE: RIBLEY CHIROPRACTIC FAMILY CENTER 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	0007017	FL

General Provider Information

NPI Number	:	1639134182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIBLEY CHIROPRACTIC FAMILY CENTER INC

Provider Business Mailing Address
First Line	:	8523 BUCCANEER SQ
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3803
Country	:	US
Telephone Number	:	813-886-8824
Fax Number	:	813-888-5581

Provider Business Practice Location Address
First Line	:	8525 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3809
Country	:	US
Telephone Number	:	813-886-8824
Fax Number	:	813-888-5581

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAWRENCE RIBLEY
Credential	:	DC
Telephone Number	:	813-886-8824

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	04/14/2010

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Directions to “RIBLEY CHIROPRACTIC FAMILY CENTER INC ” Practice Location

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