Organization
CONFORTI CHIROPRACTIC & WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WAYNE BLAKE (BILLING MANAGER)
(813) 818-7499
Entity
Organization
Contact information
Practice address
4040 TAMPA RD, OLDSMAR, FL 34677-3205
(813) 818-7499
(813) 818-7239
Mailing address
4040 TAMPA RD, OLDSMAR, FL 34677-3205
(813) 818-7499
(813) 818-7239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002847800
—
FL
Enumeration date
11/17/2006
Last updated
01/24/2013
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