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Organization
THE BODY SHOP CHIROPRACTIC AND WELLNESS PLLC
Active
Organization
THE BODY SHOP CHIROPRACTIC AND WELLNESS PLLC
Active
Other names
The Body Shop Chiropractic and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ELIZABETH BRUMBAUGH DC (OWNER)
(352) 630-9004
Entity
Organization
Contact information
Practice address
790 4TH AVE S, ST PETERSBURG, FL 33701-4412
(352) 630-9004
Mailing address
790 4TH AVE S, ST PETERSBURG, FL 33701-4412
(352) 630-9004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13038
CHIROPRACTIC LICENSE
FL
01
—
13043
CHIROPRACTIC LICENSE
FL
Enumeration date
03/16/2020
Last updated
03/16/2020
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