Organization
WHOLISTIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DUKE MANSELL DOM (OWNER)
(860) 933-2155
Entity
Organization
Contact information
Practice address
3965 HENDERSON BLVD, TAMPA, FL 33629-5023
(813) 444-3946
Mailing address
1016 E COLUMBUS DR, TAMPA, FL 33605-3333
(860) 933-2155
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3763
FL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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