# BAIN DE VIE RIVERVIEW LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bain Complete Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952640823
- **Authorized official:** DR. TIMOTHY F BAIN DC (PRESIDENT)
- **Authorized official phone:** (813) 907-9898

## Contact information

- **Practice address:** 13021 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
- **Practice address phone:** (813) 907-9898
- **Mailing address:** 10323 CROSS CREEK BLVD, SUITE E, TAMPA, FL 33647-2988
- **Mailing address phone:** (813) 907-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH8562 | FL | Yes |

## Other

- **Enumeration date:** 02/12/2013
- **Last updated:** 05/28/2013