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Organization

STOUT FAMILY CHIROPRACTIC, P.A.

Active
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Organization

STOUT FAMILY CHIROPRACTIC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM STOUT D.C. (PRESIDENT)
(813) 787-6764
Entity
Organization

Contact information

Practice address
10956 N 56TH ST, 201, TEMPLE TERRACE, FL 33617-3008
(813) 701-7272
(813) 501-1081
Mailing address
PO BOX 290285, TAMPA, FL 33687-0285
(813) 701-7272

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10219
FL
111N00000X
Chiropractor
Primary
CH9983
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015449400
—
FL
Enumeration date
03/18/2013
Last updated
12/08/2016
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