Organization
PROGRESSIVE MEDICAL GROUP PA
Active
Other names
West Bay Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LICHTER DC (PRESIDENT)
(813) 885-6001
Entity
Organization
Contact information
Practice address
8730 FOUNTAIN AVE, TAMPA, FL 33615-2802
(813) 885-6001
(813) 885-6874
Mailing address
8730 FOUNTAIN AVE, TAMPA, FL 33615-2802
(813) 885-6001
(813) 885-6874
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH6815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380716900
—
FL
Enumeration date
10/16/2006
Last updated
04/01/2013
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