Provider Demographics
NPI:1447444021
Name:BUZZELLA CHIROPRACTIC & REHABILITATION PA
Entity type:Organization
Organization Name:BUZZELLA CHIROPRACTIC & REHABILITATION PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:BUZZELLA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:941-284-4222
Mailing Address - Street 1:428 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-9206
Mailing Address - Country:US
Mailing Address - Phone:941-966-1414
Mailing Address - Fax:941-966-2424
Practice Address - Street 1:428 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9206
Practice Address - Country:US
Practice Address - Phone:941-966-1414
Practice Address - Fax:941-966-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty