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Organization
PRODIGY HEALTH LLC
Active
Organization
PRODIGY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN ALBERTO RIOS DC (OWNER, CEO)
(813) 492-0370
Entity
Organization
Contact information
Practice address
410 S WARE BLVD STE 815, TAMPA, FL 33619-4456
(813) 492-0370
(813) 374-4546
Mailing address
410 S WARE BLVD STE 815, TAMPA, FL 33619-4456
(813) 492-0370
(813) 374-4546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
06/30/2022
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