Organization
TAMPA SPORT & SPINE
Active
Other names
Levick Performance & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR JOURDAN LEVICK DC (OWNER)
(813) 230-3607
Entity
Organization
Contact information
Practice address
949 BEVILLE RD, D5, SOUTH DAYTONA, FL 32119-1705
(813) 230-3607
Mailing address
170 ACKLINS CIR, APARTMENT 308, DAYTONA BEACH, FL 32119-9781
(813) 230-3607
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH10885
FL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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