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Organization
WESLEY CHAPEL SPINE & REHAB LLC
Active
Organization
WESLEY CHAPEL SPINE & REHAB LLC
Active
Other names
WESLEY CHAPEL SPINE & SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M BROOKS DC (OWNER)
(813) 994-0151
Entity
Organization
Contact information
Practice address
20433 BRUCE B DOWNS BLVD, TAMPA, FL 33647-2759
(813) 994-0151
Mailing address
20433 BRUCE B DOWNS BLVD, TAMPA, FL 33647-2759
(813) 994-0151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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