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Organization
OMNI CHIROPRACTIC, INC
Active
Organization
OMNI CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL OLSON D.C. (CHIROPRACTOR)
(813) 422-2025
Entity
Organization
Contact information
Practice address
6902 W LINEBAUGH AVE, TAMPA, FL 33625-5800
(813) 422-2025
Mailing address
6902 W LINEBAUGH AVE, TAMPA, FL 33625-5800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000581000
—
FL
Enumeration date
05/31/2011
Last updated
05/31/2011
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