Organization
RADIANT WELLNESS CENTER LLC
Active
Organization
RADIANT WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY THERESE MARTIN DC (OWNER/DCOTOR)
(843) 816-4274
Entity
Organization
Contact information
Practice address
556 1ST AVE N, ST PETERSBURG, FL 33701-3702
(727) 954-5596
Mailing address
700 13TH AVE S, ST PETERSBURG, FL 33701-5310
(843) 816-4274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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