Organization
GULFSIDE HEALTH & REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN DIAMANTIDES DC (PRESIDENT)
(727) 457-0636
Entity
Organization
Contact information
Practice address
9438 US HIGHWAY 19N, #182, PORT RICHEY, FL 34668
(727) 848-5790
(727) 848-4260
Mailing address
9438 US HIGHWAY 19N, #182, PORT RICHEY, FL 34668
(727) 848-5790
(727) 848-4260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8790
FL
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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