Provider Demographics
NPI:1215259759
Name:CARRAZANA, CARLOS (DC)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:CARRAZANA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7821 N DALE MABRY HWY STE 110
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3201
Mailing Address - Country:US
Mailing Address - Phone:727-226-0049
Mailing Address - Fax:
Practice Address - Street 1:7821 N DALE MABRY HWY
Practice Address - Street 2:STE 110
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3201
Practice Address - Country:US
Practice Address - Phone:813-769-9000
Practice Address - Fax:913-940-7433
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor