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Organization
KINGDOM MEDICAL GROUP
Active
Organization
KINGDOM MEDICAL GROUP
Active
Other names
KINGDOM CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK THOMAS WILLIAMS (CEO)
(813) 434-1045
Entity
Organization
Contact information
Practice address
501 S FALKENBURG RD STE A2, TAMPA, FL 33619-8040
(813) 434-1045
(813) 434-1259
Mailing address
501 S FALKENBURG RD STE A2, TAMPA, FL 33619-8040
(813) 434-1045
(813) 434-1259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/30/2021
Last updated
12/03/2024
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