Organization
BASIS WHOLE BODY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP SCUDERI DC (PRESIDENT)
(561) 775-4900
Entity
Organization
Contact information
Practice address
4371 NORTHLAKE BLVD, 203, PALM BEACH GARDENS, FL 33410-6253
(561) 775-4900
Mailing address
4371 NORTHLAKE BLVD, 203, PALM BEACH GARDENS, FL 33410-6253
(561) 775-4900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7741
FL
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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