Provider Demographics
NPI:1932918653
Name:DAISEY, TAITE ANNA (DC)
Entity type:Individual
Prefix:DR
First Name:TAITE
Middle Name:ANNA
Last Name:DAISEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 NORTHWEST BLVD N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-6636
Mailing Address - Country:US
Mailing Address - Phone:302-858-1604
Mailing Address - Fax:
Practice Address - Street 1:721 NORTHWEST BLVD N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-6636
Practice Address - Country:US
Practice Address - Phone:302-858-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor