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Organization
MEDICAL & CHIROPRACTIC CLINIC, INC
Active
Organization
MEDICAL & CHIROPRACTIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L. WILLIAMS D.C. (OWNER)
(813) 237-3791
Entity
Organization
Contact information
Practice address
4602 N NEBRASKA AVE, TAMPA, FL 33603-4014
(813) 237-3791
(813) 237-3792
Mailing address
4602 N NEBRASKA AVE, TAMPA, FL 33603-4014
(813) 237-3791
(813) 237-3792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH004212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045896100
—
FL
Enumeration date
11/01/2010
Last updated
11/01/2010
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