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Organization

BRANDON WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW WILSON D.C. (OWNER)
(813) 574-9206
Entity
Organization

Contact information

Practice address
902 W LUMSDEN RD, SUITE 104, BRANDON, FL 33511-8806
(813) 574-9206
(813) 714-7575
Mailing address
902 W LUMSDEN RD, SUITE 104, BRANDON, FL 33511-8806
(813) 574-9206
(813) 714-7575

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10346
FL

Other

Enumeration date
12/11/2015
Last updated
12/11/2015
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