Individual
CARISSA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5611 SKYTOP DR, LITHIA, FL 33547-4165
(813) 461-6500
Mailing address
5611 SKYTOP DR, LITHIA, FL 33547-4165
(813) 461-6500
(813) 461-6501
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
CH12397
FL
Other
Enumeration date
01/30/2018
Last updated
10/10/2023
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