Provider Demographics
NPI:1619037793
Name:BAYLA, REGINA LIZA (DC)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:LIZA
Last Name:BAYLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4985 HOFFNER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2340
Mailing Address - Country:US
Mailing Address - Phone:678-977-1333
Mailing Address - Fax:321-445-5535
Practice Address - Street 1:4985 HOFFNER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2340
Practice Address - Country:US
Practice Address - Phone:678-977-1333
Practice Address - Fax:321-445-5535
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007967111N00000X
FLCH10003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor