Organization
EVOLVING VITALITY LLC
Active
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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