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Organization
SEMINOLE WELLNESS & INJURY CENTER
Active
Organization
SEMINOLE WELLNESS & INJURY CENTER
Active
Other names
Seminole Integrative Medicine, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J BOCCO D.C (DIRECTOR)
(407) 831-4357
Entity
Organization
Contact information
Practice address
164 SAUSALITO BLVD, CASSELBERRY, FL 32707-5764
(407) 831-4357
Mailing address
164 SAUSALITO BLVD, CASSELBERRY, FL 32707-5764
(407) 831-4357
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
06/05/2020
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