Basic Information
Provider Information
NPI: 1336240787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPRINGER
FirstName: GEORGE
MiddleName: E
NamePrefix: DR.
NameSuffix: JR.
Credential: DC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: C/O 301 TURNER ST
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337565326
CountryCode: US
TelephoneNumber: 7274666789
FaxNumber: 7274511010
Practice Location
Address1: C/O 301 TURNER ST
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337565326
CountryCode: US
TelephoneNumber: 7274666789
FaxNumber: 7274511010
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111NN1001XCH8470FLY Chiropractic ProvidersChiropractorNutrition

No ID Information.


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