Provider Demographics
NPI:1922804814
Name:DRIVE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:DRIVE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:UHLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-357-2584
Mailing Address - Street 1:119 AUGUSTA AVE
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1802
Mailing Address - Country:US
Mailing Address - Phone:614-357-2584
Mailing Address - Fax:
Practice Address - Street 1:36402 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1330
Practice Address - Country:US
Practice Address - Phone:727-722-7700
Practice Address - Fax:727-722-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty