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Organization
TAMARA BURKHEAD D.C. LLC
Active
Organization
TAMARA BURKHEAD D.C. LLC
Active
Other names
Wellspring Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA BURKHEAD D.C. (OWNER)
(850) 875-1747
Entity
Organization
Contact information
Practice address
1102 W JEFFERSON ST, QUINCY, FL 32351-2212
(850) 875-1747
(850) 627-3853
Mailing address
1102 W JEFFERSON ST, QUINCY, FL 32351-2212
(850) 875-1747
(850) 627-3853
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004395600
—
FL
Enumeration date
01/24/2017
Last updated
01/24/2017
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