| Gregory L Dokka Dc Pa | |
|
51 South Main Avenue, Suite 315, Clearwater, FL 33765-3934 | |
| (727) 447-4255 | |
| (727) 449-8198 |
| Full Name | Gregory L Dokka Dc Pa |
|---|---|
| Type | Facility |
| Speciality | Nurse Practitioner |
| Location | 51 South Main Avenue, Clearwater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588915011 | NPI | - | NPPES |
| 382010600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH7755 (Florida) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Gregory Dokka |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952338386 PECOS PAC ID: 2961445283 Enrollment ID: I20050608000141 |
| Provider Name | Lyle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487893244 PECOS PAC ID: 5496886905 Enrollment ID: I20100628000522 |
| Provider Name | William Alonzo Allen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689364879 PECOS PAC ID: 8921465345 Enrollment ID: I20230530003206 |
| Provider Name | Natasha M Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285968487 PECOS PAC ID: 2264968064 Enrollment ID: I20241203003823 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L Dokka Dc Pa 51 South Main Avenue, Suite 315, Clearwater, FL 33765-3934 Ph: (727) 447-4255 | Gregory L Dokka Dc Pa 51 South Main Avenue, Suite 315, Clearwater, FL 33765-3934 Ph: (727) 447-4255 |