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Individual

DEREK D STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
15049 BRUCE B DOWNS BLVD, TAMPA, FL 33647-1388
(937) 216-9048
Mailing address
13810 LAZY OAK DR, TAMPA, FL 33613-4924
(814) 673-1788

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 11852
FL

Other

Enumeration date
08/30/2016
Last updated
08/30/2016
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