Organization
1 SOURCE CHIROPRACTIC & PHYSICAL MEDICINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE LUIS SANTANA D.C. (OWNER/DOCTOR)
(813) 448-2222
Entity
Organization
Contact information
Practice address
2718 LETAP CT, LAND O LAKES, FL 34638-7218
(813) 448-2222
(813) 948-7111
Mailing address
2718 LETAP CT, LAND O LAKES, FL 34638-7218
(813) 448-2222
(813) 948-7111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8357
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME114962
FL
Other
Enumeration date
10/10/2012
Last updated
01/22/2013
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