Provider Demographics
NPI:1932338340
Name:KYLE FURBEE, D.C., P.A.
Entity type:Organization
Organization Name:KYLE FURBEE, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:FURBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-802-8855
Mailing Address - Street 1:200 ALLAMANDA DR
Mailing Address - Street 2:STE. A
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-2928
Mailing Address - Country:US
Mailing Address - Phone:863-802-8855
Mailing Address - Fax:863-802-8850
Practice Address - Street 1:200 ALLAMANDA DR
Practice Address - Street 2:STE. A
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2928
Practice Address - Country:US
Practice Address - Phone:863-802-8855
Practice Address - Fax:863-802-8850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006326111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22873Medicare PIN