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Organization
TAMPA ACTIVE HEALTH
Active
Organization
TAMPA ACTIVE HEALTH
Active
Other names
TAMPA ACTIVE HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J ST HILAIRE DC (OWNER/PROVIDER)
(813) 955-6742
Entity
Organization
Contact information
Practice address
4015 N. ARMENIA AVE., TAMPA, FL 33607-1001
(813) 955-6742
(833) 216-0501
Mailing address
4015 N. ARMENIA AVE., TAMPA, FL 33607-1001
(813) 955-6742
(833) 216-0501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381504800
—
FL
Enumeration date
01/10/2018
Last updated
10/12/2023
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