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Organization
QUALITY HEALTH & LIFE CLINIC LLC
Active
Organization
QUALITY HEALTH & LIFE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYON GABRIEL BLACKWELL D.C. (OWNER)
(239) 673-6501
Entity
Organization
Contact information
Practice address
2002 DEL PRADO BLVD S, SUITE 104, CAPE CORAL, FL 33990-4557
(230) 673-6501
Mailing address
2002 DEL PRADO BLVD S, SUITE 104, CAPE CORAL, FL 33990-4557
(230) 673-6501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11025
FL
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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