Provider Demographics
NPI:1417229865
Name:TAUSSIG, GEORGE WASHINGTON JR (DC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:WASHINGTON
Last Name:TAUSSIG
Suffix:JR
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 1:163 E LAKE BRANTLEY DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4407
Mailing Address - Country:US
Mailing Address - Phone:407-590-9336
Mailing Address - Fax:
Practice Address - Street 1:163 E LAKE BRANTLEY DR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4407
Practice Address - Country:US
Practice Address - Phone:407-590-9336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor