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Organization
PLANT CITY WELLNESS CENTER LLC
Active
Organization
PLANT CITY WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BINGHAM (PRESIDENT)
(813) 754-6700
Entity
Organization
Contact information
Practice address
2005 W REYNOLDS ST, PLANT CITY, FL 33563-4743
(813) 754-6700
Mailing address
2005 W REYNOLDS ST, PLANT CITY, FL 33563-4743
(813) 754-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
01/07/2009
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