Organization
RIVERVIEW WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED INSHAN DC (OWNER)
(813) 374-3775
Entity
Organization
Contact information
Practice address
10672 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-4290
(813) 374-3775
(813) 374-4122
Mailing address
9858 CLINT MOORE RD # C111-274, BOCA RATON, FL 33496-1034
(561) 482-1144
(561) 482-1145
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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