Provider Demographics
NPI:1063560209
Name:STEVENEBYRNECHIROPRACTICPA
Entity type:Organization
Organization Name:STEVENEBYRNECHIROPRACTICPA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-541-1111
Mailing Address - Street 1:8260 27TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-2806
Mailing Address - Country:US
Mailing Address - Phone:727-347-7657
Mailing Address - Fax:727-546-7294
Practice Address - Street 1:8831 49TH ST STE 5
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5335
Practice Address - Country:US
Practice Address - Phone:727-541-1111
Practice Address - Fax:727-546-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty