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Organization
COASTAL SPINE AND REHAB CENTER LLC
Active
Organization
COASTAL SPINE AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA CRANDALL DC (CHIROPRACTOR)
(727) 862-3509
Entity
Organization
Contact information
Practice address
13910 FIVAY RD, STE 10, HUDSON, FL 34667-7154
(727) 862-3509
(727) 862-3500
Mailing address
13910 FIVAY RD, STE. 10, HUDSON, FL 34667-7154
(727) 862-3509
(727) 862-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10521
FL
Other
Enumeration date
02/09/2012
Last updated
02/12/2016
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