Organization
ADVANCED WELLNESS & SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A SNYDER DC (OWNER)
(724) 875-2460
Entity
Organization
Contact information
Practice address
14028 5TH ST, DADE CITY, FL 33525
(352) 600-2232
(352) 292-0136
Mailing address
14028 5TH ST, DADE CITY, FL 33525-4311
(352) 600-2232
(352) 292-0136
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH10458
FL
Other
Enumeration date
06/15/2012
Last updated
02/12/2019
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