CHIRO-INJURY AND WELLNESS, LLC (NPI# 1710297635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710297635 |
| Entity Type | Organization |
| Organization Name | CHIRO-INJURY AND WELLNESS, LLC |
| Practice Address |
205 W Busch Blvd Tampa FL 33612-7900 |
| Practice Telephone | 8139317474 |
| Practice Fax Number | 8139317102 |
| Mailing Telephone | 8139317474 |
| Mailing Fax Number | 8139317102 |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |
| Authorized Official Name | DR. BARRY BODANZA (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 8139317474 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 7093 | FL | Chiropractic Providers |
| Street Address |
205 W BUSCH BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275916 | Jose A. Aleman-gomez | Internal Medicine | 205 W Busch Blvd, Tampa, FL 33612 | 2005-09-14 |
| 1396353249 | Orelfy Sanchez Naranjo | Nurse Practitioner | 205 W Busch Blvd, Tampa, FL 33612-7900 | 2020-07-16 |
| 1639721517 | Matilde Fonseca | Counselor | 205 W Busch Blvd, Tampa, FL 33612-7900 | 2019-07-11 |
| 1780243402 | Diana Maria Tigoudar | Massage Therapist | 205 W Busch Blvd, Tampa, FL 33612-7900 | 2019-06-06 |
| 1215407671 | Mayelin Gonzalez | Registered Nurse | 205 W Busch Blvd, Tampa, FL 33612-7900 | 2018-11-28 |
| 1306358502 | Arnaldo Acevedo | Nurse Practitioner | 205 W Busch Blvd, Tampa, FL 33612-7900 | 2017-10-27 |
| 1770010506 | Sonia Benitez Cedeno | Nurse Practitioner | 205 W Busch Blvd, Tampa, FL 33612 | 2017-05-11 |
| 1548706104 | American Care of Tampa, Inc. | General Practice | 205 W Busch Blvd, Tampa, FL 33612-7900 | 2017-01-06 |
| 1013014281 | Gerardo Gomez Cordoba | General Practice | 205 W Busch Blvd, Tampa, FL 33612-7900 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1780215798 | Rachel Emma Marr | Chiropractor | 2901 W Busch Blvd Ste 910, Tampa, FL 33618-4573 | 2020-01-29 |
| 1023648656 | Dia Laurencia Carter | Chiropractor | 106 S Armenia Ave, Tampa, FL 33609-3308 | 2020-01-23 |
| 1205466455 | Grant Elliott | Chiropractor | 317 N Dale Mabry Hwy, Tampa, FL 33609-1238 | 2020-01-16 |
| 1740810860 | Mikkel Bahamondes | Chiropractor | 5830 Memorial Hwy Apt 1401, Tampa, FL 33615-5064 | 2020-01-16 |
| 1912548355 | Az Medical Center, LLC | Chiropractor | 3911 W Waters Ave Ste 13, Tampa, FL 33614-1950 | 2019-10-07 |
| 1710530977 | Jonathan Moukhtafi | Chiropractor | 16210 Saint Michelle Ct, Tampa, FL 33647-5100 | 2019-07-17 |
| 1215599014 | Christopher Bush | Chiropractor | 12233 N Florida Ave Ste 200, Tampa, FL 33612-4270 | 2019-07-01 |
| 1396220562 | Jesse Law | Chiropractor | 110 S Manhattan Ave Apt 68, Tampa, FL 33609-3877 | 2018-10-03 |
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.