Provider Demographics
NPI:1316156813
Name:CARROLLWOOD FAMILY MEDICAL AND REHABILITATION CENTER, INC.
Entity type:Organization
Organization Name:CARROLLWOOD FAMILY MEDICAL AND REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHAPIRO,D.C.,P.A.
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-960-8866
Mailing Address - Street 1:13301 ORANGE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2915
Mailing Address - Country:US
Mailing Address - Phone:813-960-8866
Mailing Address - Fax:813-961-8384
Practice Address - Street 1:13301 ORANGE GROVE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2915
Practice Address - Country:US
Practice Address - Phone:813-960-8866
Practice Address - Fax:813-961-8384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative MedicineGroup - Multi-Specialty