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THE SOURCE CHIROPRACTIC
NPI 1306418678
Chiropractor in St Petersburg, FL

Active since July 15, 2021
2500 1ST AVE N, ST PETERSBURG, FL 33713(727) 329-6106 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Jul 15, 2021 (2 updates tracked since 2021).

About The Source Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SOURCE CHIROPRACTIC (NPI 1306418678) is a healthcare organization registered as a chiropractor in St Petersburg, Florida and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Dunedin and lists Dyllon Mawn, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1306418678
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMAWN CHIROPRACTIC PA
Location Address2500 1ST AVE NSt Petersburg, FL 33713-8702
Mailing Address5751 11th St SSt Petersburg, FL 33705-5021
Phone(727) 329-6106
Organization SubpartNo
Authorized OfficialDyllon MawnOwner/president · (561) 876-2157
Enumeration DateJuly 15, 2021
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1306418678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2500 1ST AVE N, St Petersburg, FL 33713
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Other Names 1

Doing Business AsThe Source Chiropractic

Secondary Practice Location 1

Location 1424 Skinner Blvd Apt DDunedin, FL 34698-4995 · Phone (727) 330-6718

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYLLON MAWN DC
Chiropractor
2500 1ST AVE N
SAINT PETERSBURG, FL 33713
Pinellas County (727) 329-6106
DR. DREW MICHAEL DENSON DC
Chiropractor
2500 1ST AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 329-6106
MICHAEL LIEBERMAN DC
Chiropractor
2500 1ST AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 329-6106
YINA MARIEL CUEVAS QUINTANA DC
Chiropractor
2500 1ST AVE N
ST PETERSBURG, FL 33713
Pinellas County (787) 359-3571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mawn Chiropractic PA's NPI number?

The NPI number for Mawn Chiropractic PA is 1306418678. It was assigned to this organization in the NPPES registry on July 15, 2021. The provider is doing business as The Source Chiropractic.

Where is Mawn Chiropractic PA located?

Mawn Chiropractic PA is located at 2500 1st Ave N, St Petersburg, FL 33713. The listed phone number is (727) 329-6106.

What is Mawn Chiropractic PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mawn Chiropractic PA was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.