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Organization

DANIEL SERPENTELLI III DC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL SERPENTELLI III D.C. (OWNER/PRESIDENT)
(941) 739-2225
Entity
Organization

Contact information

Practice address
6016 MANATEE AVE W, BRADENTON, FL 34209-2417
(941) 739-2225
(941) 753-6821
Mailing address
6016 MANATEE AVE W, BRADENTON, FL 34209-2417
(941) 739-2225
(941) 753-6821

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5589
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22092
BCBS
FL
Enumeration date
11/04/2013
Last updated
11/04/2013
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