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Organization
SIGNATURE CHIROPRACTIC
Active
Organization
SIGNATURE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY LE DC (PRESIDENT)
(813) 672-1818
Entity
Organization
Contact information
Practice address
9420 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-5116
(813) 672-1818
(813) 642-7145
Mailing address
9420 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-5116
(813) 672-1818
(813) 642-7145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11258
FL
Other
Enumeration date
11/04/2014
Last updated
05/17/2019
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