Organization
S & B CHIROPRACTIC AND REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTIN BEAULIEU (PRESIDENT)
(727) 272-0501
Entity
Organization
Contact information
Practice address
14523 BRUCE B DOWNS BLVD, STE 405, TAMPA, FL 33613-6501
(813) 359-9049
Mailing address
PO BOX 48558, TAMPA, FL 33646-0122
(813) 359-9049
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
CH10085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200843480
—
IN
Enumeration date
01/04/2017
Last updated
01/05/2017
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