Organization
BLOSSOM FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAVANNAH IRBY FORD DC (OWNER/ CHIROPRACTOR)
(813) 505-2671
Entity
Organization
Contact information
Practice address
360 CENTRAL AVE, STE 480, SAINT PETERSBURG, FL 33701-3857
(727) 498-5643
Mailing address
360 CENTRAL AVE, STE 480, SAINT PETERSBURG, FL 33701-3857
(727) 498-5643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 11817
FL
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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