# CHIROS ON 54 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Full Life Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205337821
- **Authorized official:** DR. ENRICO DOLCECORE DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (813) 428-5648

## Contact information

- **Practice address:** 21754 STATE ROAD 54 STE 101, LUTZ, FL 33549-6901
- **Practice address phone:** (813) 428-5648
- **Practice address fax:** (813) 501-8700
- **Mailing address:** 21754 STATE ROAD 54 STE 101, LUTZ, FL 33549-6901
- **Mailing address phone:** (813) 428-5648
- **Mailing address fax:** (813) 501-8700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 12181 | FL | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 10/25/2023