Provider Demographics
NPI:1285246165
Name:OLIVERI, CONNOR JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:JOSEPH
Last Name:OLIVERI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 W SWANN AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2478
Mailing Address - Country:US
Mailing Address - Phone:813-326-3568
Mailing Address - Fax:813-251-8309
Practice Address - Street 1:2111 W SWANN AVE STE 104
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2478
Practice Address - Country:US
Practice Address - Phone:813-326-3568
Practice Address - Fax:813-251-8309
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-20
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty