Organization
COMMUNITY CARE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERICK CHARLES JONES D.C. (PRESIDENT/ CHIROPRACTIC PHYSICIAN)
(727) 596-3601
Entity
Organization
Contact information
Practice address
12574 INDIAN ROCKS RD, LARGO, FL 33774-3007
(727) 596-3601
(727) 596-3602
Mailing address
12574 INDIAN ROCKS RD, LARGO, FL 33774-3007
(727) 596-3601
(727) 596-3602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22948Z
MEDICARE
FL
05
—
380273600
—
FL
Enumeration date
05/24/2012
Last updated
05/24/2012
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