Organization
THORASSIC PARK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO RANGEL D.C. (OWNER-PRESIDENT)
(941) 758-1402
Entity
Organization
Contact information
Practice address
1603 60TH AVE W, BRADENTON, FL 34207-4658
(941) 758-1402
Mailing address
1603 60TH AVE W, BRADENTON, FL 34207-4658
(941) 758-1402
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH2745
FL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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