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Organization
TAMPA BAY WELLNESS ALLIANCE LLC
Active
Organization
TAMPA BAY WELLNESS ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE HALL DC (MANAGER)
(727) 323-4507
Entity
Organization
Contact information
Practice address
9375 US HIGHWAY 19 N, SUITE A, PINELLAS PARK, FL 33782-5419
(727) 323-4507
(727) 323-1697
Mailing address
9375 US HIGHWAY 19 N, SUITE A, PINELLAS PARK, FL 33782-5419
(727) 323-4507
(727) 323-1697
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5547
CHIROPRACTOR
FL
Enumeration date
08/10/2011
Last updated
08/10/2011
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