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Organization
THORASSIC PARK
Active
Organization
THORASSIC PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE LYNN O'MEARA (MANAGER)
(941) 758-1402
Entity
Organization
Contact information
Practice address
1603 60TH AVE W, BRADENTON, FL 34207-4658
(941) 727-8739
Mailing address
1603 60TH AVE W, BRADENTON, FL 34207-4658
(941) 727-8739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12086
FL
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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