Organization
HEALTH SOLUTIONS OF BRANDON LLC
Active
Organization
HEALTH SOLUTIONS OF BRANDON LLC
Active
Other names
BACK AND NECK DOCTORS
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A WETHERINGTON D.C. (OWNER)
(813) 684-8141
Entity
Organization
Contact information
Practice address
807 S PARSONS AVE, BRANDON, FL 33511-6063
(813) 684-8041
(813) 689-1140
Mailing address
807 S PARSONS AVE, BRANDON, FL 33511-6063
(813) 684-8041
(813) 689-1140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003S2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/26/2012
Last updated
01/18/2013
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