Organization
DIESEL HEALTH AND RECOVERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LYNNE BRUNET DC (OWNER)
(813) 254-3707
Entity
Organization
Contact information
Practice address
1202 WEST CARMEN STREET, TAMPA, FL 33606-1303
(813) 254-3707
(813) 337-0357
Mailing address
1202 WEST CARMEN STREET, TAMPA, FL 33606-1303
(813) 254-3707
(813) 337-0357
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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