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Organization
BAIN DE VIE CORY LAKE ISLE LLC
Active
Organization
BAIN DE VIE CORY LAKE ISLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY FILMORE BAIN D.O. (PRESIDENT)
(813) 907-9898
Entity
Organization
Contact information
Practice address
10311 CROSS CREEK BLVD, SUITE E, TAMPA, FL 33647-2989
(813) 907-9898
(813) 907-0220
Mailing address
10311 CROSS CREEK BLVD, SUITE E, TAMPA, FL 33647-2989
(813) 907-9898
(813) 907-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8562
FL
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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