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Organization
PERFORMANCE HEALTH AND REHAB
Active
Organization
PERFORMANCE HEALTH AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE LYNNE BRUNET D.C (MEDICAL DIRECTOR)
(813) 254-3707
Entity
Organization
Contact information
Practice address
515 N NEWPORT AVE, TAMPA, FL 33606-1325
(813) 254-3707
Mailing address
515 N NEWPORT AVE, TAMPA, FL 33606-1325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10633
FL
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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