Individual
BARRY BODANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 W BUSH BLVD, TAMPA, FL 33612
(800) 679-7246
(912) 355-1848
Mailing address
PO BOX 15639, SAVANNAH, GA 31416
(800) 679-7246
(912) 355-1848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH07093
FL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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