Organization
PELUSO CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BLY D.C. (PRESIDENT)
(727) 934-7602
Entity
Organization
Contact information
Practice address
36949 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1238
(727) 934-7602
(727) 934-7704
Mailing address
36949 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1238
(727) 934-7602
(727) 934-7704
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH5006
FL
261QP2300X
Primary Care Clinic/Center
CH 5006
FL
261QR0400X
Rehabilitation Clinic/Center
CH 5006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554294-00
—
FL
Enumeration date
02/20/2007
Last updated
09/27/2021
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