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Organization
LONG CHIROPRACTIC & REHAB CENTER
Active
Organization
LONG CHIROPRACTIC & REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE SUMMA AO (ADMIN OFFICER)
(813) 930-6112
Entity
Organization
Contact information
Practice address
4282 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 930-6112
Mailing address
4282 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 930-6112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6821
FL
Other
Enumeration date
01/09/2013
Last updated
12/16/2024
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