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Organization
SUNCOAST PHYSICAL MEDICINE, LLC
Active
Organization
SUNCOAST PHYSICAL MEDICINE, LLC
Active
Other names
Suncoast Spinemed
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BERNS DC (OWNER)
(813) 906-0000
Entity
Organization
Contact information
Practice address
701 W DR MARTIN LUTHER KING JR BLVD STE 4, TAMPA, FL 33603-3100
(813) 960-0000
(813) 960-0100
Mailing address
701 W DR MARTIN LUTHER KING JR BLVD STE 4, TAMPA, FL 33603-3100
(813) 960-0000
(813) 960-0100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8992
FL
Other
Enumeration date
01/11/2018
Last updated
06/16/2018
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