Individual
DR. GARRETT SLADE BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13694 W HILLSBOROUGH AVE, TAMPA, FL 33635-9638
(813) 891-1600
Mailing address
13694 W HILLSBOROUGH AVE, TAMPA, FL 33635-9638
(813) 891-1600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381566800
—
FL
Enumeration date
07/26/2006
Last updated
06/05/2008
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