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Organization
BAIN DE VIE RIVERVIEW LLC
Active
Organization
BAIN DE VIE RIVERVIEW LLC
Active
Other names
COMPLETE INJURY AND REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE WITT (DIRECTOR OF OPERATIONS)
(813) 907-9898
Entity
Organization
Contact information
Practice address
13021 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 907-9898
Mailing address
10323 CROSS CREEK BLVD, SUITE E, TAMPA, FL 33647-2988
(813) 907-9898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
05/28/2014
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