Organization
HYBRID REHAB & PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERMIYAS GHEBRAI DC (OWNER/OFFICER)
(813) 454-3377
Entity
Organization
Contact information
Practice address
6708 MIRROR LAKE AVE, TAMPA, FL 33634-1065
(813) 454-3377
Mailing address
6708 MIRROR LAKE AVE, TAMPA, FL 33634-1065
(813) 454-3377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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