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Organization
SUNCOAST MUA, LLC
Active
Organization
SUNCOAST MUA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN G WOLSTEIN D.C. (OWNER)
(727) 216-9014
Entity
Organization
Contact information
Practice address
24945 US HIGHWAY 19 N, CLEARWATER, FL 33763-3927
(727) 726-1460
(727) 669-7138
Mailing address
24945 US HIGHWAY 19 N, CLEARWATER, FL 33763-3927
(727) 726-1460
(727) 669-7138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6425
FL
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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