Organization
CHAMPION WELLNESS CENTERS, FISHHAWK, LLC
Active
Other names
Brandon Spine and Injury
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE THOMAS MULLAN (CHIROPRACTOR)
(813) 409-3304
Entity
Organization
Contact information
Practice address
908 LITHIA PINECREST RD, BRANDON, FL 33511-6121
(813) 409-3304
Mailing address
908 LITHIA PINECREST RD, BRANDON, FL 33511-6121
(813) 409-3304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
02/27/2026
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