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Organization
TAMPA CHIROPRACTIC LLC
Active
Organization
TAMPA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT COONS D.C (MANAGER)
(813) 416-3555
Entity
Organization
Contact information
Practice address
3315 W BEARSS AVE, TAMPA, FL 33618-2100
(813) 416-3555
Mailing address
3315 W BEARSS AVE, TAMPA, FL 33618-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 11183
FL
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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