# GREGORY L DOKKA DC PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clearwater Spine & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588915011
- **Authorized official:** DR. GREGORY L DOKKA D.C. (PRESIDENT)
- **Authorized official phone:** (727) 447-4255

## Contact information

- **Practice address:** 51 SOUTH MAIN AVENUE, SUITE 315, CLEARWATER, FL 33765-3934
- **Practice address phone:** (727) 447-4255
- **Practice address fax:** (727) 449-8198
- **Mailing address:** 51 SOUTH MAIN AVENUE, SUITE 315, CLEARWATER, FL 33765-3934
- **Mailing address phone:** (727) 447-4255
- **Mailing address fax:** (727) 449-8198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH7755 | FL | — |
| 111N00000X | Chiropractor | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2012
- **Last updated:** 09/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 382010600 | — | FL |