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Organization
CONQUEST CLINICS LLC
Active
Organization
CONQUEST CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB VANLANDINGHAM (FOUNDER)
(850) 544-2962
Entity
Organization
Contact information
Practice address
1408 N PIEDMONT WAY, TALLAHASSEE, FL 32308-7974
(727) 692-6197
Mailing address
1408 N PIEDMONT WAY, TALLAHASSEE, FL 32308-7974
(727) 692-6197
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/10/2013
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