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Organization

CONQUEST CLINICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB VANLANDINGHAM (FOUNDER)
(850) 544-2962
Entity
Organization

Contact information

Practice address
1408 N PIEDMONT WAY, TALLAHASSEE, FL 32308-7974
(727) 692-6197
Mailing address
1408 N PIEDMONT WAY, TALLAHASSEE, FL 32308-7974
(727) 692-6197

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
12/09/2013
Last updated
12/10/2013
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