Organization
EVOLVING VITALITY LLC
Active
Other names
Evolving Vitality LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ROBERT DASO OWNER (CEO)
(813) 279-9232
Entity
Organization
Contact information
Practice address
2143 BURNICE DR, CLEARWATER, FL 33764-4859
(813) 279-9232
Mailing address
2143 BURNICE DR, CLEARWATER, FL 33764-4859
(813) 279-9232
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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