Organization
DIAGNOSTIC CHIROPRACTIC MI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SUPER DC (VICEPRESIDENT)
(917) 449-7582
Entity
Organization
Contact information
Practice address
201 4TH ST S UNIT 241, SAINT PETERSBURG, FL 33701-4299
(917) 449-7582
Mailing address
201 4TH ST S UNIT 241, SAINT PETERSBURG, FL 33701-4299
(917) 449-7582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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