Organization
BAIN COMPLETE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE WITT (VICE PRESIDENT)
(813) 574-2460
Entity
Organization
Contact information
Practice address
10311 CROSS CREEK BLVD, TAMPA, FL 33647-2989
(813) 907-9898
Mailing address
10311 CROSS CREEK BLVD STE E, TAMPA, FL 33647-2989
(813) 574-2460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11502
FL
Other
Enumeration date
05/04/2015
Last updated
03/02/2023
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