Individual
DR. AUSTIN EMIL DACANAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, MS, CCSP, ICSSD
Contact information
Practice address
4961 VAN DYKE RD., LUTZ, FL 33558
(813) 908-8776
(813) 908-8704
Mailing address
4961 VAN DYKE RD, LUTZ, FL 33558-4813
(813) 908-8776
(813) 908-8704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8788
FL
111NS0005X
Sports Physician Chiropractor
3980
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381971000
—
FL
Enumeration date
10/05/2005
Last updated
10/02/2008
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