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Organization
SF CHIROPRACTIC & REHAB CENTER, INC
Active
Organization
SF CHIROPRACTIC & REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG H KIM D.C., D.A.C.N.B. (PRESIDENT)
(813) 350-9100
Entity
Organization
Contact information
Practice address
2312 CRESTOVER LN STE 101, WESLEY CHAPEL, FL 33544-6790
(813) 501-8091
(813) 803-4729
Mailing address
4121 N ARMENIA AVE, TAMPA, FL 33607-6433
(813) 350-9100
(813) 374-8929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH6830
FL
111N00000X
Chiropractor
Primary
CH9101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007183804
ATENA
FL
01
—
698090
UNITED HEALTH CARE
FL
01
—
98012
BCBS FLORIDA
FL
Enumeration date
03/14/2006
Last updated
11/20/2018
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