Organization
OUTPATIENT PAIN & WELLNESS CENTER, INC.
Active
Other names
Outpatient Pain & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN CLEMENTS D.O (PRESIDENT)
(813) 874-6600
Entity
Organization
Contact information
Practice address
4602 N ARMENIA AVE, SUITE B5, TAMPA, FL 33603-2626
(813) 874-6600
(813) 874-6601
Mailing address
4602 N ARMENIA AVE, SUITE B5, TAMPA, FL 33603-2626
(813) 874-6600
(813) 874-6601
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH7977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382225700
—
FL
Enumeration date
01/13/2009
Last updated
01/13/2009
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