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Organization
PHANCORE WELLNESS LLC
Active
Organization
PHANCORE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J PHAN DC (CHIROPRACTOR)
(727) 385-0052
Entity
Organization
Contact information
Practice address
5580 PARK BLVD N STE 1, PINELLAS PARK, FL 33781-3328
(727) 385-0052
(727) 914-1594
Mailing address
5580 PARK BLVD N STE 1, PINELLAS PARK, FL 33781-3328
(727) 385-0052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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