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Organization
IDEAL HEALTH AND WELLNESS CENTER LLC
Active
Organization
IDEAL HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA M MADDOX DC (OWNER)
(813) 933-1511
Entity
Organization
Contact information
Practice address
8001 N DALE MABRY HWY BLDG 301, TAMPA, FL 33614-3290
(813) 933-1511
Mailing address
8001 N DALE MABRY HWY BLDG 301, TAMPA, FL 33614-3290
(813) 933-1511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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