Organization
PROGRESSIVE MEDICAL GROUP PA
Active
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
Update your record
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