Organization
ACTIVE CHIROPRACTIC, LLC
Active
Other names
Countryside Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA A YOUNG DC (OWNER)
(727) 400-6000
Entity
Organization
Contact information
Practice address
28051 US HIGHWAY 19 N STE 106, CLEARWATER, FL 33761-2642
(727) 400-6000
(727) 999-6001
Mailing address
28051 US HIGHWAY 19 N STE 106, CLEARWATER, FL 33761-2642
(727) 400-6000
(727) 999-6001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10813
FL
111N00000X
Chiropractor
Primary
CH9770
FL
Other
Enumeration date
09/18/2017
Last updated
07/08/2024
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