MEDICARE: CFNC TAMPA LLC

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	111NN0400X	Neurology Chiropractor

General Provider Information

NPI Number	:	1962353649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CFNC TAMPA LLC

Provider Business Mailing Address
First Line	:	7207 DELAINEY CT
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8440
Country	:	US
Telephone Number	:	941-424-7513
Fax Number	:	941-313-7351

Provider Business Practice Location Address
First Line	:	7207 DELAINEY CT
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8440
Country	:	US
Telephone Number	:	941-424-7513
Fax Number	:	941-313-7351

Authorized Official
Title or Position	:	CLINICAL DIRECTOR/OWNER
Name	:	BIANCA ELISE MIRET
Credential	:	DC
Telephone Number	:	772-208-7886

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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