Provider Demographics
NPI:1124265129
Name:TOVAR, EMILY KATHRYN (DC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATHRYN
Last Name:TOVAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 HIGHWAY 44 W
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34453-3725
Mailing Address - Country:US
Mailing Address - Phone:352-726-0554
Mailing Address - Fax:
Practice Address - Street 1:2611 HIGHWAY 44 W
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3725
Practice Address - Country:US
Practice Address - Phone:352-726-0554
Practice Address - Fax:352-726-3885
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9697111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL593483676OtherTAX ID