Organization
OLDSMAR CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FORREST GOLDEN D.C. (OWNER)
(813) 855-5986
Entity
Organization
Contact information
Practice address
3906 TAMPA RD, SUITE A, OLDSMAR, FL 34677-3100
(813) 855-5986
(813) 855-6378
Mailing address
3906 TAMPA RD, SUITE A, OLDSMAR, FL 34677-3100
(813) 855-5986
(813) 855-6378
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH4140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053598200
—
FL
Enumeration date
10/01/2014
Last updated
10/01/2014
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