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Organization

DANIEL J MADOCK DC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL MADOCK D.C. (PRESIDENT / OWNER)
(813) 935-1664
Entity
Organization

Contact information

Practice address
11406 N 56TH ST, TAMPA, FL 33617-2237
(813) 935-1664
(813) 985-8797
Mailing address
11406 N 56TH ST, TAMPA, FL 33617-2237
(813) 935-1664
(813) 985-8797

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3299
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
380679100
FL
Enumeration date
02/09/2008
Last updated
04/22/2008
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