Organization
PHARMCLINIC TWO LLC
Active
Other names
Wellness and Weightloss of Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN HENDERSON (OWNER/MANAGER)
(850) 293-8459
Entity
Organization
Contact information
Practice address
1135 PROFESSIONAL PARK DR, BRANDON, FL 33511-4887
(813) 689-9911
(813) 653-1177
Mailing address
1116 N FERDON BLVD, CRESTVIEW, FL 32536-1710
(850) 683-1111
(850) 683-1753
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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