Provider Demographics
NPI:1487168506
Name:DUNEDIN CHIROPRACTIC INC
Entity type:Organization
Organization Name:DUNEDIN CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIRORPACTIC / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-733-6501
Mailing Address - Street 1:1059 BROADWAY SUITE C
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698
Mailing Address - Country:US
Mailing Address - Phone:727-733-6501
Mailing Address - Fax:727-733-6701
Practice Address - Street 1:1059 BROADWAY SUITE C
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698
Practice Address - Country:US
Practice Address - Phone:727-733-6501
Practice Address - Fax:727-733-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty