Organization
IDEAL BODY INSTITUTE TAMPA, LLC
Active
Organization
IDEAL BODY INSTITUTE TAMPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER IBIKUNLE MD (CIO)
(678) 466-6760
Entity
Organization
Contact information
Practice address
5931 WEBB RD, TAMPA, FL 33615-3219
(678) 466-6760
Mailing address
367 ATHENS HWY STE 100, LOGANVILLE, GA 30052-2207
(678) 466-6760
(678) 802-7094
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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