Organization
OPTIMAL LIVING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA DAVIS CHEEVER AP (OWNER/OPERATOR)
(813) 843-9799
Entity
Organization
Contact information
Practice address
13950 W HILLSBOROUGH AVE, TAMPA, FL 33635-9656
(813) 843-9799
Mailing address
13950 W HILLSBOROUGH AVE, TAMPA, FL 33635-9656
(813) 843-9799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
07/01/2014
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