Provider Demographics
NPI:1528828571
Name:ENGA, SPENCER LEE (DC)
Entity type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:LEE
Last Name:ENGA
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 1:2002 N LOIS AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2395
Mailing Address - Country:US
Mailing Address - Phone:813-549-6565
Mailing Address - Fax:
Practice Address - Street 1:2002 N LOIS AVE STE 220
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2395
Practice Address - Country:US
Practice Address - Phone:813-549-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA112412111N00000X
FLCH15240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor